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Licensing details for: 13801

Name: SIMI FAMILY DENTAL, DENTAL OFFICE OF SYED HASAN

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

1350 E LOS ANGELES AVE STE 202
SIMI VALLEY CA 93065
VENTURA county
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Practice Location

1350 E LOS ANGELES AVE STE 202
SIMI VALLEY CA 93065
VENTURA county
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Issuance Date

October 2, 2017

Expiration Date

February 29, 2028

Current Date / Time

April 3, 2026
5:41:37 PM

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: HASAN, SYED MINHAJ-UL

License/Registration Type: Dentist License

License Number: 47086 Primary Status: Current - Active

Address :
1350 E LOS ANGELES AVE
SUITE 202
SIMI VALLEY CA 93065
VENTURA COUNTY

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