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Licensing details for: 10020

Name: ENCINO DENTAL STUDIO, DENTAL PRACTICE OF AMIR H. JAMSHEED, PROFES

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: ENCINO DENTAL STUDIO PRACTICE OF AMIR H. JAMSHEED, PROFESSIONAL DENTAL CORP

Address of Record

16055 VENTURA BOULEVARD, STE. 1126
ENCINO CA 91436-2612
LOS ANGELES county
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Practice Location

16055 VENTURA BOULEVARD, STE. 1126
ENCINO CA 91436
LOS ANGELES county
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Issuance Date

July 16, 2012

Expiration Date

August 31, 2021

Current Date / Time

April 3, 2026
7:08:05 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: JAMSHEED, AMIR HOSSAIN

License/Registration Type: Dentist License

License Number: 54513 Primary Status: Current - Active

Address :
16055 VENTURA BLVD STE. 400
ENCINO CA 91436
LOS ANGELES COUNTY

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