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Licensing details for: 12771

Name: OXNARD DENTISTRY DENTAL OFFICE OF DR. KEIHANI

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1730 EAST GONZALES ROAD
OXNARD CA 93036
VENTURA county
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Practice Location

1730 EAST GONZALES ROAD
OXNARD CA 93036
VENTURA county
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Issuance Date

April 13, 2016

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
3:3:21 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ALIREZAEI, RAMBOD ROBBY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHODADADI, SOHEIL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KEIHANI, KOUROSH

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: ALIREZAEI, RAMBOD ROBBY

License/Registration Type: Dentist License

License Number: 48872 Primary Status: Current - Active

Address :
11633 San Vicente Blvd Ste 210
LOS ANGELES CA 90049-6513
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: KEIHANI, KOUROSH

License/Registration Type: Dentist License

License Number: 63776 Primary Status: Current - Active

Address :
1730 E Gonzales Rd
OXNARD CA 93036-3701
VENTURA 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: KHODADADI, SOHEIL

License/Registration Type: Dentist License

License Number: 39024 Primary Status: Current - Active

Address :
8500 Wilshire Blvd
SUITE 527
BEVERLY HILLS CA 90211-3121
LOS ANGELES COUNTY

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