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Licensing details for: 81974

Name: GOWHAR IRAVANI, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2880 OLYMPIC BLVD 201
LOS ANGELES CA 90006
LOS ANGELES county
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Practice Location

2880 OLYMPIC BLVD 201
LOS ANGELES CA 90006
LOS ANGELES county
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Issuance Date

November 21, 2024

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
10:44:12 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: IRAVANI, GOWHAR

License/Registration Type: Dentist License

License Number: 63471 Primary Status: Current - Active

Address :
405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES COUNTY

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