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Licensing details for: 17423

Name: ADVANCED ORAL SURGERY, BAKERSFIELD, DENTAL OFFICE OF DR. SIRISH MAKAN

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: ADVANCED ORAL SURGERY, BAKERSFIELD

Address of Record

5555 TRUXTUN AVENUE, SUITE 200
BAKERSFIELD CA 93309
KERN county
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Practice Location

5555 TRUXTUN AVENUE, SUITE 200
BAKERSFIELD CA 93309
KERN county
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Issuance Date

October 19, 2022

Expiration Date

June 30, 2023

Current Date / Time

June 6, 2025
1:54:52 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MAKAN, SIRISH

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: MAKAN, SIRISH

License/Registration Type: Dentist License

License Number: 65305 Primary Status: Current - Active

Address :
10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES COUNTY

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