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Licensing details for: 16884

Name: DENTIST OF LONG BEACH DENTAL OFFICE OF DR. OMID BARKHORDAR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

530 REDONDO AVE
LONG BEACH CA 90814
LOS ANGELES county
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Practice Location

530 REDONDO AVE
LONG BEACH CA 90814
LOS ANGELES county
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Issuance Date

November 4, 2021

Expiration Date

February 28, 2025

Current Date / Time

September 21, 2026
8:41:39 AM

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: BARKHORDAR, OMID RABI

License/Registration Type: Dentist License

License Number: 58536 Primary Status: Current - Active

Address :
16461 Whittier Blvd
WHITTIER CA 90603-3045
LOS ANGELES COUNTY

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