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Licensing details for: 17049

Name: STARRY SKIES DENTAL OF M KHAKNEGAR DDS INCORPORATED DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: STARRY SKIES DENTAL

Address of Record

6024 FALLBROOK AVE SUITE 201
WOODLAND HILLS CA 91367
LOS ANGELES county
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Practice Location

6024 FALLBROOK AVE SUITE 201
WOODLAND HILLS CA 91367
LOS ANGELES county
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Issuance Date

February 22, 2022

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
2:11:2 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHAKNEGAR, MOHAMMAD

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: KHAKNEGAR, MOHAMMAD

License/Registration Type: Dentist License

License Number: 58982 Primary Status: Current - Active

Address :
6024 Fallbrook Ave
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY

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