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Licensing details for: 11961

Name: BIGDELI D.D.S. INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: BIGDELI DDS INC

Address of Record

13422 NEWPORT AVE
STE E
TUSTIN CA 92780
ORANGE county
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Practice Location

13422 NEWPORT AVE
STE E
TUSTIN CA 92780
ORANGE county
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Issuance Date

July 22, 2015

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
9:1:50 PM

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: BIGDELI, FARANAK

License/Registration Type: Dentist License

License Number: 49260 Primary Status: Current - Active

Address :
18682 BEACH BL
STE 100
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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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: BIGDELI, FORUZAN

License/Registration Type: Dentist License

License Number: 46753 Primary Status: Current - Active

Address :
18682 Beach Blvd
100
18682 BEACH BLVD, 100
HUNTINGTON BEACH CA 92648-2048

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