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Licensing details for: 14930

Name: EASTLAKE VILLAGE DENTAL OFFICE SOHRAB YAZDANI DDS. A PROFESSIONAL DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

20249 YORBA LINDA BL
YORBA LINDA CA 92886
ORANGE county
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Practice Location

20249 YORBA LINDA BL.
YORBA LINDA CA 92886
ORANGE county
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Issuance Date

April 4, 2019

Expiration Date

August 31, 2021

Current Date / Time

December 16, 2025
12:39:29 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: YAZDANI, SOHRAB

License/Registration Type: Dentist License

License Number: 44282 Primary Status: Current - Active

Address :
25146 Rockridge Rd
LAGUNA HILLS CA 92653-7804
ORANGE COUNTY

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