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Licensing details for: 79746

Name: BEHNOUD REYHANI DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2639 SANTA ANA ST
SOUTH GATE CA 90280
LOS ANGELES county
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Practice Location

2639 SANTA ANA ST
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

August 6, 2018

Expiration Date

November 30, 2027

Current Date / Time

April 3, 2026
8:08:07 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: HAKIMZADEH, PASHA

License/Registration Type: Dentist License

License Number: 57057 Primary Status: Current - Active

Address :
6470 Florence Ave
BELL GARDENS CA 90201
LOS ANGELES 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: REYHANI, BEHNOUD

License/Registration Type: Dentist License

License Number: 56741 Primary Status: Current - Active

Address :
10809 Wellworth Ave
LOS ANGELES CA 90024-4915
LOS ANGELES COUNTY

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