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Licensing details for: 7471

Name: SHAHRAM KHODAI, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

2043 ANDERSON ROAD #A
DAVIS CA 95616
YOLO county
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Issuance Date

August 10, 2001

Expiration Date

May 31, 2003

Current Date / Time

June 7, 2025
10:17:17 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: KHODAI, SHAHRAM

License/Registration Type: Dentist License

License Number: 43027 Primary Status: Current - Active

Address :
3517 Marconi Ave #105
SACRAMENTO CA 95821
SACRAMENTO COUNTY

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