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Licensing details for: 34545

Name: REYES, RALPH

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Reduced Renewal Fee

Address of Record

613 N Azusa Ave Ste B
AZUSA CA 91702-2968
LOS ANGELES county
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Issuance Date

July 30, 1986

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
1:59:45 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KING HOUSE DENTAL GROUP, INC

License/Registration Type: Fictitious Name Permit

License Number: 2126 Primary Status: Cancelled

Address :
STEVE TATEVOSSIAN, DDS
529 BROOKSIDE AVENUE
REDLANDS CA 92373
SAN BERNARDINO 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: KING HOUSE DENTAL GROUP, INC

License/Registration Type: Fictitious Name Permit

License Number: 2126 Primary Status: Cancelled

Address :
STEVE TATEVOSSIAN, DDS
529 BROOKSIDE AVENUE
REDLANDS CA 92373
SAN BERNARDINO COUNTY

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New License to Old License

License/Registration Role: Old Dentist License

Related Party Role: New Dentist License

Name: ABEDI, HAMID REZA

License/Registration Type: Dentist License

License Number: 43300 Primary Status: Current - Active

Address :
9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE COUNTY

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New License to Old License

License/Registration Role: New Dentist License

Related Party Role: Old Dentist License

Name: TATEVOSSIAN, STEVE

License/Registration Type: Dentist License

License Number: 43499 Primary Status: Current - Active

Address :
529 BROOKSIDE AVE
REDLANDS CA 92373
SAN BERNARDINO COUNTY

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New License to Old License

License/Registration Role: New Dentist License

Related Party Role: Old Dentist License

Name: ABEDI, HAMID REZA

License/Registration Type: Dentist License

License Number: 43300 Primary Status: Current - Active

Address :
9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE COUNTY

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