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Licensing details for: 11164

Name: KAMRAN SAHABI, D.D.S., INC., TUSTIN

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SAHABI-SHAHBAZIAN DENTAL CORPORATION

Address of Record

13011 NEWPORT AVENUE
SUITE 205
TUSTIN CA 92780
ORANGE county
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Practice Location

13011 NEWPORT AVENUE SUITE 205
TUSTIN CA 92780
ORANGE county
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Issuance Date

July 29, 2013

Expiration Date

March 31, 2015

Current Date / Time

June 7, 2025
4:43:7 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: SAHABI, KAMRAN

License/Registration Type: Dentist License

License Number: 39202 Primary Status: Current - Active

Address :
609 SOUTH GLENDALE AVENUE
GLENDALE CA 91205
LOS ANGELES COUNTY

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