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Licensing details for: 8466

Name: GAREMANI, SHAHMOHAMMADI, DDS, PROFESSIONAL DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

8540 RESEDA BLVD
STE 102
NORTHRIDGE CA 91324
LOS ANGELES county
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Issuance Date

February 8, 2005

Expiration Date

August 31, 2020

Current Date / Time

June 21, 2025
9:47:40 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: REZA, HAMID

License/Registration Type: Dentist License

License Number: 41307 Primary Status: Current - Active

Address :
8540 RESEDA BLVD, #101
NORTHRIDGE CA 91324
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: GHAHREMANI, REZA MOHAMMAD

License/Registration Type: Dentist License

License Number: 34492 Primary Status: Current - Active

Address :
4705 Whitsett Ave
Apt 206
STUDIO CITY CA 91604-1155
LOS ANGELES COUNTY

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