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Licensing details for: 11149

Name: COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: COHEN SEDGH, MANAVI & PAKRAVIAN DENTAL CORPORATION COHEN, MANAVI & PAKRAVAN DENTAL CORPORATION

Address of Record

2931 WEST COCHRAN STREET
UNIT 2B-3
SIMI VALLEY CA 93065
VENTURA county
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Practice Location

2931 WEST COCHRAN STREET
UNIT 2B-3
SIMI VALLEY CA 93065
VENTURA county
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Issuance Date

July 25, 2013

Expiration Date

May 31, 2015

Current Date / Time

April 9, 2026
1:48:45 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: MANAVI, FARHAD

License/Registration Type: Dentist License

License Number: 38558 Primary Status: Current - Active

Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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