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Licensing details for: 82359

Name: BAHARAK GHAFFARZADEGAN, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Oxnard Modern Dentistry, Inc.

Address of Record

2150 N. Rose Avenue
OXNARD CA 93036
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Issuance Date

September 18, 2025

Expiration Date

August 31, 2026

Current Date / Time

December 13, 2025
8:41:29 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: GHAFFARZADEGAN, BAHARAK

License/Registration Type: Dentist License

License Number: 63623 Primary Status: Current - Active

Address :
1760 E. Avenida de los Arboles
Suite A
THOUSAND OAKS CA 91362
VENTURA COUNTY

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