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Licensing details for: 14200

Name: CALIFORNIA DENTAL GROUP, SAHABI-MORAVVEJI DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2101 BROADVIEW DR
GLENDALE CA 91208
LOS ANGELES county
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Practice Location

2101 BROADVIEW DR
GLENDALE CA 91208
LOS ANGELES county
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Issuance Date

May 3, 2018

Expiration Date

March 31, 2023

Current Date / Time

June 7, 2025
4:18:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAHABI, KAMRAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MORAVVEJI, RAMIN

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: MORAVVEJI, RAMIN

License/Registration Type: Dentist License

License Number: 65303 Primary Status: Current - Active

Address :
1616 NORTH VERDUGO ROAD #11
GLENDALE CA 91208
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: SAHABI, KAMRAN

License/Registration Type: Dentist License

License Number: 39202 Primary Status: Current - Active

Address :
609 SOUTH GLENDALE AVENUE
GLENDALE CA 91205
LOS ANGELES COUNTY

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