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Licensing details for: 8977

Name: AESTHETICA DENTAL GROUP, DRS. SIAMAK KHAKSHOOY AND SOHEIL VAHEDI,

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: AESTHETICA DENTAL

Address of Record

3451 WEST CENTURY BOULEVARD
STE. B-1
INGLEWOOD CA 90303
LOS ANGELES county
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Practice Location

3451 WEST CENTURY BOULEVARD
STE. B-1
INGLEWOOD CA 90303
LOS ANGELES county
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Issuance Date

October 5, 2010

Expiration Date

April 30, 2028

Current Date / Time

October 27, 2026
3:20:16 PM

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: VAHEDI, SOHEIL

License/Registration Type: Dentist License

License Number: 54735 Primary Status: Current - Active

Address :
2621 E 1st St
2621 E. 1st Street
LOS ANGELES CA 90033-3505

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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: KHAKSHOOY, SIAMAK

License/Registration Type: Dentist License

License Number: 54539 Primary Status: Current - Active

Address :
3451 W CENTURY BLVD STE# B-1
INGLEWOOD CA 90304
LOS ANGELES COUNTY

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