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Licensing details for: 9667

Name: SHARIATI DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MANSOUR SHARIATI

Address of Record

27947 SLOAN CANYON RD.
CASTAIC CA 91384
LOS ANGELES county
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Issuance Date

July 11, 2008

Expiration Date

December 31, 2009

Current Date / Time

June 7, 2025
11:44:26 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: SHARIATI, MANSOUR

License/Registration Type: Dentist License

License Number: 51186 Primary Status: Deceased

Address :
16756 SANTA CORINA CT
SAN DIEGO CA 92127
SAN DIEGO COUNTY

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