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Licensing details for: 9219

Name: H. IMANKHAN, DDS, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: H IMANKHAN DDS

Address of Record

23111 VENTURA BLVD.
STE. 104
WOODLAND HILLS CA 91364
LOS ANGELES county
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Issuance Date

October 17, 2006

Expiration Date

November 30, 2007

Current Date / Time

June 6, 2025
2:26:34 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: IMANKHAN, HAMID REZA

License/Registration Type: Dentist License

License Number: 46073 Primary Status: Current - Active

Address :
11395 Atlantic Ave
LYNWOOD CA 90262-2485
LOS ANGELES COUNTY

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