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Licensing details for: 9221

Name: FARZANA POYAN, DDS

License Type: Mobile Dental Clinic

Primary Status: Current - Active

Qualification: Portable Dental Unit

Address of Record

240 SHOTWELL ST
SAN FRANCISCO CA 94110-1323
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Practice Location

240 SHOTWELL ST
SAN FRANCISCO CA 94110-1323
SAN FRANCISCO county
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Issuance Date

October 29, 2024

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
1:23:29 PM

License Relationships

MDC to DDS or OMS

License/Registration Role: Mobile Dental Clinic Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: POYAN, FARZANA

License/Registration Type: Dentist License

License Number: 61742 Primary Status: Current - Active

Address :
240 Shotwell St
SAN FRANCISCO CA 94110-1323
SAN FRANCISCO COUNTY

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