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Licensing details for: 4037

Name: BERKELEY HILLS DENTAL GROUP, DAVID S NIKFARJAM,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2320 WOOLSEY ST, STE 312
BERKELEY CA 94705
ALAMEDA county
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Issuance Date

January 2, 2003

Expiration Date

September 30, 2010

Current Date / Time

June 3, 2026
9:49:19 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: NIKFARJAM, DAVID SOHEIL

License/Registration Type: Dentist License

License Number: 43216 Primary Status: Current - Active

Address :
1464 S ROBERTSON BLVD
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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