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Licensing details for: 17715

Name: FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION/ DBA MAGICLAND CHILDREN'S DENTISTRY & ORTHODONTICS DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6423 VINELAND AVE
NORTH HOLLYWOOD CA 91606
LOS ANGELES county
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Practice Location

6423 VINELAND AVE
NORTH HOLLYWOOD CA 91606
LOS ANGELES county
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Issuance Date

March 20, 2023

Expiration Date

May 31, 2027

Current Date / Time

April 3, 2026
3:40:34 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: PAKRAVAN, FARID

License/Registration Type: Dentist License

License Number: 39862 Primary Status: Current - Active

Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY

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