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Licensing details for: 3504

Name: MURRIETA FAMILY DENTAL GROUP, OFFICE OF SOHEIL LEVI, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

40643 CAL OAKS RD
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

February 20, 2002

Expiration Date

December 31, 2006

Current Date / Time

June 7, 2025
11:5:8 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEVI, SOHEIL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEVI, SOHEIL PISHGAR

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: LEVI, SOHEIL PISHGAR

License/Registration Type: Dentist License

License Number: 39195 Primary Status: Current - Active

Address :
6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES COUNTY

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