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Licensing details for: 4008

Name: WEST COAST DENTAL GROUP OF FARID PAKRAVAN

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9910 LONG BEACH BLVD, STE A
LYNWOOD CA 90262
LOS ANGELES county
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Issuance Date

December 9, 2002

Expiration Date

May 31, 2027

Current Date / Time

April 3, 2026
3:38:48 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: PAKRAVAN, FARID

License/Registration Type: Dentist License

License Number: 39862 Primary Status: Current - Active

Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY

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