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Licensing details for: 12889

Name: WASHINGTON DENTAL GROUP INC SOHRAB YAZDANI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1731 E WASHINGTON BLVD
PASADENA CA 91104
LOS ANGELES county
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Practice Location

1731 E WASHINGTON BLVD
PASADENA CA 91104
LOS ANGELES county
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Issuance Date

May 25, 2016

Expiration Date

August 31, 2019

Current Date / Time

June 6, 2025
10:6:12 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NADIR-MOHAMMADI, SHAHLA

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YAZDANI, SOHRAB

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: NADIR-MOHAMMADI, SHAHLA

License/Registration Type: Dentist License

License Number: 44744 Primary Status: Current - Active

Address :
25146 ROCKRIDGE RD
LAGUNA HILLS CA 92653
ORANGE 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: YAZDANI, SOHRAB

License/Registration Type: Dentist License

License Number: 44282 Primary Status: Current - Active

Address :
25146 Rockridge Rd
LAGUNA HILLS CA 92653-7804
ORANGE COUNTY

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