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Licensing details for: 81594

Name: FARHAD MANAVI DDS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4149 TWEEDY BOULEVARD, #J
SOUTH GATE CA 90280
LOS ANGELES county
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Practice Location

4149 TWEEDY BOULEVARD, #J
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

September 8, 2023

Expiration Date

March 31, 2027

Current Date / Time

April 3, 2026
12:42:13 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: MANAVI, FARHAD

License/Registration Type: Dentist License

License Number: 38558 Primary Status: Current - Active

Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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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: SAREH, ATEFEH

License/Registration Type: Dentist License

License Number: 41993 Primary Status: Current - Active

Address :
12121 Wilshire Blvd
Suite 1111
LOS ANGELES CA 90025-1123
LOS ANGELES COUNTY

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