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Licensing details for: 3591

Name: MAGNOLIA DENTAL GROUP, SAHABI-SEPAHI DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10400 MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
LOS ANGELES county
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Issuance Date

March 28, 2002

Expiration Date

March 31, 2005

Current Date / Time

June 6, 2025
1:54:10 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SEPAHI, HILDA

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAHABI, KAMRAN

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: SAHABI, KAMRAN

License/Registration Type: Dentist License

License Number: 39202 Primary Status: Current - Active

Address :
609 SOUTH GLENDALE AVENUE
GLENDALE CA 91205
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: SEPAHI, HILDA

License/Registration Type: Dentist License

License Number: 40304 Primary Status: Current - Active

Address :
10329 Eastborne Ave
LOS ANGELES CA 90024
LOS ANGELES COUNTY

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