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Licensing details for: 12747

Name: DENTAL CARE 2000 PLUS OMID R. KASHANI DDS INC. DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

115 W. FOOTHILL BLVD
MONROVIA CA 91016
LOS ANGELES county
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Practice Location

115 W. FOOTHILL BLVD
MONROVIA CA 91016
LOS ANGELES county
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Issuance Date

April 6, 2016

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
10:7:20 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KASHANI, OMID RABIZADEH

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: KASHANI, OMID RABIZADEH

License/Registration Type: Dentist License

License Number: 48295 Primary Status: Current - Active

Address :
115 W Foothill Blvd
MONROVIA CA 91016-2144
LOS ANGELES COUNTY

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