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Licensing details for: 1690

Name: COLUMBUS DENTAL GROUP AMIR NESHAT DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

17756 SATICOY STREET
RESEDA CA 91335
LOS ANGELES county
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Issuance Date

August 11, 1997

Expiration Date

May 31, 2000

Current Date / Time

December 14, 2025
9:41:1 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: NESHAT, AMIR

License/Registration Type: Dentist License

License Number: 41965 Primary Status: Cancelled

Address :
340 COMMERCE
SUITE 100
IRVINE CA 92602
ORANGE COUNTY

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