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Licensing details for: 8451

Name: WARNER CENTER DENTAL, RAFI, SHIDMAND DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Previous Names: WARNER CENTER DENTAL

Address of Record

21516 VICTORY BOULEVARD
WOODLAND HILLS CA 91367
LOS ANGELES county
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Practice Location

21516 VICTORY BOULEVARD
WOODLAND HILLS CA 91367
LOS ANGELES county
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Issuance Date

October 12, 2009

Expiration Date

December 31, 2011

Current Date / Time

June 7, 2025
6:59:24 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAFI, KEVIN KAMIAR

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: RAFI, KEVIN KAMIAR

License/Registration Type: Dentist License

License Number: 47552 Primary Status: Current - Active

Address :
21516 Victory Blvd
WOODLAND HILLS CA 91367-2423
LOS ANGELES COUNTY

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