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Licensing details for: 9825

Name: DENTAL PLUS DENTAL GROUP, OFFICE OF ROUHANI & KHABBAZ DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: DENTAL PLUS DENTAL GROUP - OFFICE OF ROUHANI & KHABBAZ DENTAL CORPORATION

Address of Record

310 SOUTH LAKE AVENUE, LOWER LEVEL
PASADENA CA 91101
LOS ANGELES county
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Practice Location

310 SOUTH LAKE AVENUE, LOWER LEVEL
PASADENA CA 91101
LOS ANGELES county
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Issuance Date

March 19, 2012

Expiration Date

December 31, 2014

Current Date / Time

June 7, 2025
6:36:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ROUHANI, MORVARID

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: ROUHANI, MORVARID

License/Registration Type: Dentist License

License Number: 43654 Primary Status: Current - Active

Address :
24119 LANCE PLACE
WEST HILLS CA 91307
LOS ANGELES COUNTY

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