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Licensing details for: 169

Name: SEDIQ, TAMIM

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

22901 VANHOWEN ST. #2
WEST HILLS CA 91307
LOS ANGELES county
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Practice Location

6535 N PALM AVE #102
FRESNO CA 93704
FRESNO county
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Issuance Date

June 1, 2023

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
11:30:20 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MISSION HILLS MODERN DENTISTRY DENTAL GROUP SEDIQ AND HANNA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15200 Primary Status: Cancelled

Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
LOS ANGELES COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SEDIQ, TAMIM

License/Registration Type: Dentist License

License Number: 63969 Primary Status: Current - Active

Address :
22901 VANOWEN STREET, #2
WEST HILLS CA 91307
LOS ANGELES COUNTY

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