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Licensing details for: 7108

Name: DAFTARY, DMD, FESHARAKI, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12660 RIVERSIDE DRIVE, #240
VALLEY VILLAGE CA 91607
LOS ANGELES county
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Issuance Date

November 30, 1999

Expiration Date

March 31, 2024

Current Date / Time

June 6, 2025
2:20:50 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: FESHARAKI, AMIR MANSOOR

License/Registration Type: Dentist License

License Number: 37996 Primary Status: Current - Active

Address :
12660 RIVERSIDE DR
suite 240
VALLEY VILLAGE CA 91607

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