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Licensing details for: 3211

Name: BEACH CITIES DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1801 SOLAR DRIVE
OXNARD CA 93030
VENTURA county
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Issuance Date

May 15, 2001

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
6:31:40 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHODADADI, RAMIN N

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MEHRDAD, FARZIN

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: MEHRDAD, FARZIN

License/Registration Type: Dentist License

License Number: 47127 Primary Status: Current - Active

Address :
18800 Main street #110
18800 Main street #110
HUNTINGTON BEACH CA 92648
ORANGE 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: KHODADADI, RAMIN N

License/Registration Type: Dentist License

License Number: 47378 Primary Status: Current - Active

Address :
227 WEST JANSS ROAD
SUITE 140
THOUSAND OAKS CA 91360
VENTURA COUNTY

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