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Licensing details for: 81031

Name: SOHAIL PARHAM A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

4955 VAN NUYS BLVD., SUITE 520
SHERMAN OAKS CA 91403-1801
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Practice Location

4955 VAN NUYS BLVD., SUITE 520
SHERMAN OAKS CA 91403-1801
LOS ANGELES county
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Issuance Date

September 14, 2021

Expiration Date

May 31, 2023

Current Date / Time

June 13, 2026
7:34:39 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: PARHAM, SOHAIL

License/Registration Type: Dentist License

License Number: 38214 Primary Status: Current - Active

Address :
4955 VAN NUYS BLVD SUITE 520
SHERMAN OAKS CA 91403
LOS ANGELES COUNTY

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