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Licensing details for: 80153

Name: IRAVANI DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

8111 VAN NUYS BLVD, 107
PANORAMA CITY CA 91402
LOS ANGELES county
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Practice Location

8111 VAN NUYS BLVD, 107
PANORAMA CITY CA 91402
LOS ANGELES county
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Issuance Date

July 11, 2019

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
10:40:15 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: IRAVANI, GOWHAR

License/Registration Type: Dentist License

License Number: 63471 Primary Status: Current - Active

Address :
405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES COUNTY

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