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Licensing details for: 19470

Name: DR. PARHAM RADMANESH DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

28200 BOUQUET CANYON RD SUITE M
SANTA CLARITA CA 91350
LOS ANGELES county
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Practice Location

28200 BOUQUET CANYON RD SUITE M
SANTA CLARITA CA 91350
LOS ANGELES county
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Issuance Date

April 23, 2025

Expiration Date

December 31, 2026

Current Date / Time

December 13, 2025
9:43:0 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: RADMANESH, PARHAM

License/Registration Type: Dentist License

License Number: 105655 Primary Status: Current - Active

Address :
11750 Wilshire Blvd
Unit #3403
LOS ANGELES CA 90025-6981
LOS ANGELES COUNTY

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