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Licensing details for: 9348

Name: AFFORDABLE DENTAL OFFICE, DR. PAYAM BARZIVAND, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: AFFORDABLE DENTAL

Address of Record

6600-A VAN NUYS BOULEVARD
VAN NUYS CA 91405
LOS ANGELES county
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Practice Location

6600-A VAN NUYS BOULEVARD
VAN NUYS CA 91405
LOS ANGELES county
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Issuance Date

May 24, 2011

Expiration Date

July 31, 2020

Current Date / Time

December 15, 2025
10:56:46 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: BARZIVAND, PAYAM

License/Registration Type: Dentist License

License Number: 54590 Primary Status: Current - Active

Address :
6251 Van Nuys Blvd.
VAN NUYS CA 91401
LOS ANGELES COUNTY

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