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Licensing details for: 10486

Name: WEST COAST DENTAL GROUP, COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION DBA WEST COAST DENTAL WEST COAST DENTAL, COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION

Address of Record

3571 N. FIRST STREET, STE. 201
SAN JOSE CA 95134
SANTA CLARA county
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Practice Location

3571 N. FIRST STREET, STE. 201
SAN JOSE CA 95134
SANTA CLARA county
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Issuance Date

May 15, 2013

Expiration Date

May 31, 2027

Current Date / Time

April 3, 2026
3:38:56 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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