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Licensing details for: 14353

Name: GOWHAR IRAVANI, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

405 N MACLAY AVE, STE 101
SAN FERNANDO CA 91340
LOS ANGELES county
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Practice Location

405 N MACLAY AVE, STE 101
SAN FERNANDO CA 91340
LOS ANGELES county
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Issuance Date

July 25, 2018

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
10:35:27 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: IRAVANI, GOWHAR

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: IRAVANI, GOWHAR

License/Registration Type: Dentist License

License Number: 63471 Primary Status: Current - Active

Address :
405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES COUNTY

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