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Licensing details for: 15026

Name: PANORAMA DENTAL GROUP OF DR. IRAVANI AND DR. NAZARIAN

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

8111 VAN NUYS BLVD #107
PANORAMA CITY CA 91402
LOS ANGELES county
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Practice Location

8111 VAN NUYS BLVD #107
PANORAMA CITY CA 91402
LOS ANGELES county
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Issuance Date

June 5, 2019

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
10:4:18 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: IRAVANI, GOWHAR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NAZARIAN, CARINEH

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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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: NAZARIAN, CARINEH

License/Registration Type: Dentist License

License Number: 53090 Primary Status: Current - Active

Address :
1687 ERRINGER ROAD #207
SIMI VALLEY CA 93065
VENTURA COUNTY

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