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Licensing details for: 10436

Name: SHOHREH Z. SELKI, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Previous Names: SHOHREH Z SELKI

Address of Record

29525 CANWOOD ST #201
AGOURA HILLS CA 91301
LOS ANGELES county
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Practice Location

2952 CANWOOD ST #201
AGOURA HILLS CA 91301
LOS ANGELES county
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Issuance Date

March 14, 2011

Expiration Date

October 31, 2021

Current Date / Time

June 6, 2025
2:24:42 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SELKI, SHOHREH ZAMANZADEH

License/Registration Type: Dentist License

License Number: 41051 Primary Status: Current - Active

Address :
3029 CORDA DR
LOS ANGELES CA 90049
LOS ANGELES COUNTY

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