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Licensing details for: 12485

Name: TUSTIN SMILE CARE DENTAL GROUP DR. FARANAK BIGDELI DR. FORUZAN BI

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: TUSTIN SMILE CARE DR. FARANAK BIGDELI DR. FORUZAN BIGDELI

Address of Record

13422 NEWPORT AVENUE, SUITE E
TUSTIN CA 92780
ORANGE county
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Issuance Date

October 27, 2015

Expiration Date

July 31, 2021

Current Date / Time

December 13, 2025
7:54:6 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: BIGDELI, FORUZAN

License/Registration Type: Dentist License

License Number: 46753 Primary Status: Current - Active

Address :
18682 Beach Blvd
100
18682 BEACH BLVD, 100
HUNTINGTON BEACH CA 92648-2048

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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: BIGDELI, FARANAK

License/Registration Type: Dentist License

License Number: 49260 Primary Status: Current - Active

Address :
18682 BEACH BL
STE 100
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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