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Licensing details for: 19426

Name: ENCINO ENDODONTICS DENTAL PRACTICE OF JAHANBAKHSH AND KHOSRAVIAN, DENTAL PARTNERSHIP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

5363 BALBOA BLVD, #531
ENCINO CA 91316
LOS ANGELES county
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Issuance Date

April 1, 2025

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
2:4:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHOSRAVIAN, NILOOFAR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: JAHANBAKHSH, ARASH

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: KHOSRAVIAN, NILOOFAR

License/Registration Type: Dentist License

License Number: 102381 Primary Status: Current - Active

Address :
23038 Ostronic Dr
WOODLAND HILLS CA 91367-6142
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: jahanbakhsh, arash

License/Registration Type: Dentist License

License Number: 100492 Primary Status: Current - Active

Address :
22300 Mobile St
WOODLAND HILLS CA 91303-2426
LOS ANGELES COUNTY

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