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Licensing details for: 105146

Name: BAROOTY, ARIAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1295 S La Brea Ave
ste 101
INGLEWOOD CA 90301-1066
LOS ANGELES county
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Practice Location

1295 S La Brea Ave
ste 101
INGLEWOOD CA 90301-1066
LOS ANGELES county
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Issuance Date

August 3, 2020

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
8:30:33 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAWNDALE DENTAL GROUP, DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19057 Primary Status: Current - Active

Address :
15228 HAWTHORNE BLVD. SUITE A
LAWNDALE CA 90260
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CROWN DENTAL & ORTHODONTICS DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17991 Primary Status: Current - Active

Address :
1295 S. LA BREA AVE #101
INGLEWOOD CA 90301-1066
LOS ANGELES COUNTY

Map

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: LAWNDALE DENTAL GROUP, DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19057 Primary Status: Current - Active

Address :
15228 HAWTHORNE BLVD. SUITE A
LAWNDALE CA 90260
LOS ANGELES COUNTY

Map

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: CROWN DENTAL & ORTHODONTICS DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17991 Primary Status: Current - Active

Address :
1295 S. LA BREA AVE #101
INGLEWOOD CA 90301-1066
LOS ANGELES COUNTY

Map

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