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Licensing details for: 82245

Name: KOUROSH KEIHANI, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: T. JABAITI DENTAL CORPORATION

Address of Record

8914 S Vermont Ave
LOS ANGELES CA 90044
LOS ANGELES county
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Practice Location

8914 S Vermont Ave
LOS ANGELES CA 90044
LOS ANGELES county
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Issuance Date

June 6, 2025

Expiration Date

July 31, 2027

Current Date / Time

June 7, 2025
3:46:39 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: KEIHANI, KOUROSH

License/Registration Type: Dentist License

License Number: 63776 Primary Status: Current - Active

Address :
1730 E Gonzales Rd
OXNARD CA 93036-3701
VENTURA COUNTY

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