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Licensing details for: 9614

Name: FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

44558 10TH STREET WEST
LANCASTER CA 93534
LOS ANGELES county
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Issuance Date

April 29, 2008

Expiration Date

May 31, 2021

Current Date / Time

April 3, 2026
5:21:29 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: PAKRAVAN, FARID

License/Registration Type: Dentist License

License Number: 39862 Primary Status: Current - Active

Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY

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