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Licensing details for: 80747

Name: FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1025 W AVE. SUITE 105
LANCASTER CA 93534
LOS ANGELES county
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Practice Location

1025 W AVE. SUITE 105
LANCASTER CA 93534
LOS ANGELES county
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Issuance Date

December 16, 2020

Expiration Date

May 31, 2027

Current Date / Time

April 3, 2026
5:22:57 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: PAKRAVAN, FARID

License/Registration Type: Dentist License

License Number: 39862 Primary Status: Current - Active

Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY

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