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Licensing details for: 225

Name: MANSOURI, PARNAZ BARNAJIAN

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: BARNAJIAN, PARNAZ

Address of Record

16550 VENTURA BLVD STE 322
ENCINO CA 91436
LOS ANGELES county
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Practice Location

16550 VENTURA BLVD STE 322
ENCINO CA 91436
LOS ANGELES county
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Issuance Date

December 15, 2023

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
2:59:19 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ENCINO PEDIATRIC DENTAL GROUP PEDIATRIC DENTAL OFFICE OF DRS. MAN

License/Registration Type: Fictitious Name Permit

License Number: 12111 Primary Status: Current - Active

Address :
16550 VENTURA BLVD, SUITE 322
ENCINO CA 91436
LOS ANGELES COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: MANSOURI, PARNAZ BARNAJIAN

License/Registration Type: Dentist License

License Number: 53051 Primary Status: Current - Active

Address :
16550 VENTURA BLVD SUITE 322
ENCINO CA 91436
LOS ANGELES COUNTY

Map

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