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Licensing details for: 80062

Name: POURSHIRAZI & YOUSSEFI DENTAL CORP

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Practice Location

31569 CANYON ESTATES #120
LAKE ELSINORE CA 92532
RIVERSIDE county
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Issuance Date

May 7, 2019

Expiration Date

January 31, 2028

Current Date / Time

April 2, 2026
11:32:11 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: POURSHIRAZI, HOMAYOUN

License/Registration Type: Dentist License

License Number: 44064 Primary Status: Current - Active

Address :
27192 Newport Rd
SUITE 2
MENIFEE CA 92584-7387
RIVERSIDE COUNTY

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