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Licensing details for: 39753

Name: BAKHTAMIAN, ALEN

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

10059 Laurel Canyon Blvd
PACOIMA CA 91331-3847
LOS ANGELES county
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Practice Location

10059 Laurel Canyon Blvd
PACOIMA CA 91331-3847
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Issuance Date

November 8, 1991

Expiration Date

May 31, 2025

Current Date / Time

June 6, 2025
3:15:48 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: ALEN BAKHTAMIAN, A PROF. DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 10232 Primary Status: Expired

Address Not Disclosed

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: ASATRYAN & BAKHTAMIAN DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 80963 Primary Status: Expired

Address :
2644 FOOTHILL BLVD
LA CRESCENTA CA 91214
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HEALTHY SMILES OF LA CRESCENTA, DENTAL OFFICE OF ASATRYAN & BAKHTAMIAN DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 16630 Primary Status: Expired

Address :
2644 FOOTHILL BLVD
LA CRESCENTA CA 91214
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: HEALTHY SMILES OF LA CRESCENTA, DENTAL OFFICE OF ASATRYAN & BAKHTAMIAN DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 16630 Primary Status: Expired

Address :
2644 FOOTHILL BLVD
LA CRESCENTA CA 91214
LOS ANGELES COUNTY

Map

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