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Licensing details for: 8764

Name: SHIRAZI AND PARHAM, A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

4955 VAN NUYS BLVD
STE 520
SHERMAN OAKS CA 91403
LOS ANGELES county
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Issuance Date

February 14, 2006

Expiration Date

August 31, 2016

Current Date / Time

June 13, 2026
6:14:57 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: SHIRAZI-ARDESTANI, BEHZAD

License/Registration Type: Dentist License

License Number: 37368 Primary Status: Current - Active

Address :
4366 Tujunga Avenue
STUDIO CITY CA 91604
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: PARHAM, SOHAIL

License/Registration Type: Dentist License

License Number: 38214 Primary Status: Current - Active

Address :
4955 VAN NUYS BLVD SUITE 520
SHERMAN OAKS CA 91403
LOS ANGELES COUNTY

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