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Licensing details for: 11517

Name: CALIFORNIA DENTAL GROUP, KAMRAN SAHABI, D.D.S., INC., TUSTIN.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CALIFORNIA DENTAL GROUP, SAHABI-SHAHBAZIAN DENTAL CORPORATION

Address of Record

13011 NEWPORT AVE STE 205
TUSTIN CA 92780
ORANGE county
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Practice Location

13011 NEWPORT AVE STE 205
TUSTIN CA 92780
ORANGE county
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Issuance Date

September 9, 2014

Expiration Date

March 18, 2019

Current Date / Time

June 7, 2025
4:13:32 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAHABI, KAMRAN

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: 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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