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Licensing details for: 254

Name: SELKI, SHOHREH ZAMANZADEH

License Type: Moderate Sedation Permit

Primary Status: Cancelled

Qualification: Pediatric Endorsement Under 13 Pediatric Endorsement Under 7Primary Status Definition

Previous Names: SELKI, SHOHREH Z

Address of Record

3029 CORDA DR.
LOS ANGELES CA 90049
LOS ANGELES county
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Practice Location

1025 W. AVE K #105
LANCASTER CA 93534
LOS ANGELES county
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Issuance Date

September 12, 2023

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
1:54:2 AM

License Relationships

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: SELKI, SHOHREH ZAMANZADEH

License/Registration Type: Dentist License

License Number: 41051 Primary Status: Current - Active

Address :
3029 CORDA DR
LOS ANGELES CA 90049
LOS ANGELES COUNTY

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