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Licensing details for: 14849

Name: AFFORDABLE DENTAL OFFICE, DR. PAYAM BARZIVAND

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6251 VAN NUYS BLVD
VAN NUYS CA 91401
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Practice Location

6251 VAN NUYS BLVD
VAN NUYS CA 91401
LOS ANGELES county
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Issuance Date

February 22, 2019

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
1:43:18 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BARZIVAND, PAYAM

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: BARZIVAND, PAYAM

License/Registration Type: Dentist License

License Number: 54590 Primary Status: Current - Active

Address :
6251 Van Nuys Blvd.
VAN NUYS CA 91401
LOS ANGELES COUNTY

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