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Licensing details for: 15327

Name: SANTA CLARITA VALLEY DENTAL GROUP A KHABBAZ AND ROUHANI DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

22770 W. SOLEDAD CANYON ROAD
SANTA CLARITA CA 91350
LOS ANGELES county
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Practice Location

22770 W. SOLEDAD CANYON ROAD
SANTA CLARITA CA 91350
LOS ANGELES county
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Issuance Date

September 10, 2019

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
9:51:51 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHABBAZ, LILIANA GABY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ROUHANI, MORVARID

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: KHABBAZ, LILIANA GABY

License/Registration Type: Dentist License

License Number: 43987 Primary Status: Current - Active

Address :
22770 Soledad Canyon Rd
SANTA CLARITA CA 91350-2629
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: ROUHANI, MORVARID

License/Registration Type: Dentist License

License Number: 43654 Primary Status: Current - Active

Address :
24119 LANCE PLACE
WEST HILLS CA 91307
LOS ANGELES COUNTY

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