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Licensing details for: 10269

Name: WEST COAST DENTAL GROUP OF GAGE, COHEN SEDGH, MANAVI & PAKRAVAN D

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: WEST COAST DENTAL GROUP OF GAGE

Address of Record

1423 E. GAGE AVENUE, STE. A
LOS ANGELES CA 90001
LOS ANGELES county
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Practice Location

1423 E. GAGE AVENUE, STE. A
LOS ANGELES CA 90001
LOS ANGELES county
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Issuance Date

January 11, 2013

Expiration Date

May 31, 2027

Current Date / Time

April 3, 2026
3:40:45 AM

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: MANAVI, FARHAD

License/Registration Type: Dentist License

License Number: 38558 Primary Status: Current - Active

Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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