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Licensing details for: 9075

Name: A NEW SMILE DENTAL GROUP RAMTIN & KHOSROVANI, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: A NEW SMILE DENTAL GROUP

Address of Record

13564 VAN NUYS BOULEVARD
PACOIMA CA 91331
LOS ANGELES county
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Practice Location

13564 VAN NUYS BOULEVARD
PACOIMA CA 91331
LOS ANGELES county
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Issuance Date

November 19, 2010

Expiration Date

February 29, 2024

Current Date / Time

June 6, 2025
2:12:0 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAMTIN, PARHAM

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: RAMTIN, PARHAM

License/Registration Type: Dentist License

License Number: 56049 Primary Status: Current - Active

Address :
13564 VAN NUYS BLVD
PACOIMA CA 91331
LOS ANGELES COUNTY

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