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Licensing details for: 7776

Name: H REZA SHAHMOHAMMADI, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

8349 RESEDA BLVD #F
NORTHRIDGE CA 91324
LOS ANGELES county
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Issuance Date

September 11, 2002

Expiration Date

September 30, 2004

Current Date / Time

June 22, 2025
6:14:4 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: REZA, HAMID

License/Registration Type: Dentist License

License Number: 41307 Primary Status: Current - Active

Address :
8540 RESEDA BLVD, #101
NORTHRIDGE CA 91324
LOS ANGELES COUNTY

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