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Licensing details for: 5176

Name: BIG DENTAL GROUP, BIGDELI, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

18682 BEACH BLVD, STE 100
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

September 8, 2004

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
3:15:28 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BIGDELI, FORUZAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BIGDELI, FARANAK

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: BIGDELI, FARANAK

License/Registration Type: Dentist License

License Number: 49260 Primary Status: Current - Active

Address :
18682 BEACH BL
STE 100
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: BIGDELI, FORUZAN

License/Registration Type: Dentist License

License Number: 46753 Primary Status: Current - Active

Address :
18682 Beach Blvd
100
18682 BEACH BLVD, 100
HUNTINGTON BEACH CA 92648-2048

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