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Licensing details for: 80888

Name: BEHNOUD REYHANI, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

5129 CANDLEWOOD ST
LAKEWOOD CA 90712
LOS ANGELES county
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Practice Location

5129 CANDLEWOOD ST
LAKEWOOD CA 90712
LOS ANGELES county
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Issuance Date

April 20, 2021

Expiration Date

November 30, 2021

Current Date / Time

April 3, 2026
6:46:38 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: 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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