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Licensing details for: 6147

Name: NADER NIKNAM, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

4065 WEST AVENUE "L"
LANCASTER CA 93536
LOS ANGELES county
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Issuance Date

March 19, 1999

Expiration Date

February 29, 2000

Current Date / Time

June 7, 2025
12:1:8 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: NIKNAM, NADER

License/Registration Type: Dentist License

License Number: 39056 Primary Status: Current - Active

Address :
11645 WILSHIRE BLVD
SUITE 790
LOS ANGELES CA 90025
LOS ANGELES COUNTY

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