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Licensing details for: 10697

Name: CALIFORNIA DENTAL GROUP, KAMRAN SAHABI, DDS, A PROFESSIONAL DENTA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

305 EAST PORT HUENEME ROAD
PORT HUENEME CA 93041
VENTURA county
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Practice Location

305 EAST PORT HUENEME ROAD
PORT HUENEME CA 93041
VENTURA county
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Issuance Date

September 6, 2013

Expiration Date

March 31, 2019

Current Date / Time

December 13, 2025
7:54:21 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: SAHABI, KAMRAN

License/Registration Type: Dentist License

License Number: 39202 Primary Status: Current - Active

Address :
609 SOUTH GLENDALE AVENUE
GLENDALE CA 91205
LOS ANGELES COUNTY

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