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Licensing details for: 81857

Name: OMID BARKHORDAR, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3960 ATLANTIC AVE
LONG BEACH CA 90807
LOS ANGELES county
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Practice Location

3960 ATLANTIC AVE
LONG BEACH CA 90807
LOS ANGELES county
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Issuance Date

July 16, 2024

Expiration Date

February 28, 2025

Current Date / Time

September 21, 2026
8:44:00 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: BARKHORDAR, OMID RABI

License/Registration Type: Dentist License

License Number: 58536 Primary Status: Current - Active

Address :
16461 Whittier Blvd
WHITTIER CA 90603-3045
LOS ANGELES COUNTY

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