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Licensing details for: 10712

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

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

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

Address of Record

1160 EAST ONTARIO AVENUE SUITE 102
CORONA CA 91719
RIVERSIDE county
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Practice Location

1160 EAST ONTARIO AVENUE SUITE 102
CORONA CA 91719
RIVERSIDE county
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Issuance Date

September 13, 2013

Expiration Date

May 31, 2023

Current Date / Time

April 3, 2026
3:40:41 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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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: COHEN-SEDGH, SOLEYMAN

License/Registration Type: Dentist License

License Number: 38979 Primary Status: Current - Active

Address :
1730 W SEPULVEDA BL, STE 1
TORRANCE CA 90510
LOS ANGELES COUNTY

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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: PAKRAVAN, FARID

License/Registration Type: Dentist License

License Number: 39862 Primary Status: Current - Active

Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY

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