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Licensing details for: 18189

Name: DENTIST OF CERRITOS DENTAL OFFICE OF DR. OMID BARKHORDAR AND DR. HAMID BARKHORDAR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

11900 SOUTH STREET #108
CERRITOS CA 90703
LOS ANGELES county
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Practice Location

11900 SOUTH STREET #108
CERRITOS CA 90703
LOS ANGELES county
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Issuance Date

October 18, 2023

Expiration Date

February 28, 2025

Current Date / Time

September 21, 2026
8:41:40 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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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, HAMID RABI

License/Registration Type: Dentist License

License Number: 63310 Primary Status: Current - Active

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

Map

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