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Licensing details for: 11134

Name: CALIFORNIA KIDS DENTAL AND ORTHODONTICS, DENTAL PRACTICE OF BADII

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CALIFORNIA KIDS DENTAL AND ORTHODONTICS PRACTICE OF BADII DENTAL INC.

Address of Record

1109 WEST 17TH STREET
SANTA ANA CA 92706
ORANGE county
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Practice Location

1109 WEST 17TH STREET
SANTA ANA CA 92706
ORANGE county
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Issuance Date

March 7, 2014

Expiration Date

July 31, 2016

Current Date / Time

June 7, 2025
3:43:13 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BADII, KIAVASH KEVIN

Address Not Disclosed

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: BADII, KIAVASH KEVIN

License/Registration Type: Dentist License

License Number: 54538 Primary Status: Current - Active

Address :
1424 S Euclid St
FULLERTON CA 92832-3152
ORANGE COUNTY

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