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Licensing details for: 11259

Name: A NEW SMILE CC DENTAL GROUP OF DR'S KHOSRAVONI, RAMTIN AND ZARRIN

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Partnership

Previous Names: A NEW SMILE CC DENTAL GROUP DR'S KHOSRAVONI, RAMTIN AND ZARRINNAM EHRLICH

Address of Record

27209 CAMP PLENTY
CANYON COUNTRY CA 91351
LOS ANGELES county
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Practice Location

27209 CAM PLENTY
CANYON COUNTRY CA 91351
LOS ANGELES county
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Issuance Date

May 2, 2014

Expiration Date

April 30, 2022

Current Date / Time

June 6, 2025
10:39:27 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHOSROVANI, ALI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAMTIN, PARHAM

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZARRINNAM, LILA

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: KHOSROVANI, ALI

License/Registration Type: Dentist License

License Number: 56085 Primary Status: Current - Active

Address :
4905 YORK
LOS ANGELES CA 90042
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: ZARRINNAM, LILA

License/Registration Type: Dentist License

License Number: 47217 Primary Status: Current - Active

Address :
16769 MORISON ST
ENCINO CA 91436
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: RAMTIN, PARHAM

License/Registration Type: Dentist License

License Number: 56049 Primary Status: Current - Active

Address :
13564 VAN NUYS BLVD
PACOIMA CA 91331
LOS ANGELES COUNTY

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