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Licensing details for: 13250

Name: VICTORY PLAZA DENTAL GROUP DENTAL OFFICE OF FARNAZ KOHAN, INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

13065 VICTORY BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES county
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Practice Location

13065 VICTORY BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES county
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Issuance Date

December 23, 2016

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
7:54:44 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: KOHAN, FARNAZ

License/Registration Type: Dentist License

License Number: 62906 Primary Status: Current - Active

Address :
13065 Victory Blvd
13065 Victory Plaza
NORTH HOLLYWOOD CA 91606-2925
LOS ANGELES COUNTY

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