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Licensing details for: 13179

Name: MISSION VIEJO FAMILY DENTISTRY DENTAL GROUP DR ZIRAKZADEH

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

28201 MARGUERITE PARKWAY, STE. 10
MISSION VIEJO CA 92692
ORANGE county
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Practice Location

28201 MARGUERITE PARKWAY, STE. 10
MISSION VIEJO CA 92692
ORANGE county
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Issuance Date

November 22, 2016

Expiration Date

April 30, 2025

Current Date / Time

June 7, 2025
4:17:33 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZIRAKZADEH, SARAH

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: ZIRAKZADEH, SARAH

License/Registration Type: Dentist License

License Number: 46007 Primary Status: Current - Active

Address :
28021 Virginia
MISSION VIEJO CA 92692-4009
ORANGE COUNTY

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