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Licensing details for: 40029

Name: THEODOROU, NIKOLAOS

License Type: Dentist

Primary Status: Current - Active

Address of Record

19717 SHERMAN WAY
CANOGA PARK CA 91306
LOS ANGELES county
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Issuance Date

April 30, 1992

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
2:46:58 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VICTORIAN DENTAL GROUP, THEODOROU PROFESSIONAL DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 1550 Primary Status: Current - Active

Address :
19717 SHERMAN WAY
CANOGA PARK CA 91306
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: VICTORIAN DENTAL GROUP, THEODOROU PROFESSIONAL DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 1550 Primary Status: Current - Active

Address :
19717 SHERMAN WAY
CANOGA PARK CA 91306
LOS ANGELES COUNTY

Map

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