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Licensing details for: 102436

Name: HALLAJIAN, LUCY TANYA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

12837 Moorpark St
Unit 214
STUDIO CITY CA 91604-1344
LOS ANGELES county
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Practice Location

19500 Ventura Blvd
Ste 240
TARZANA CA 91356-2917
LOS ANGELES county
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Issuance Date

May 12, 2018

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
8:10:51 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GRIN & LITTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF LUCY HALLAJIAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 18446 Primary Status: Expired

Address :
19510 VENTURA BLVD STE 240
TARZANA CA 91356
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: GRIN & LITTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF LUCY HALLAJIAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 18446 Primary Status: Expired

Address :
19510 VENTURA BLVD STE 240
TARZANA CA 91356
LOS ANGELES COUNTY

Map

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