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Licensing details for: 41133

Name: TABIBI, FARIBA

License Type: Dentist

Primary Status: Current - Active

Address of Record

513 VETERAN AVE
LOS ANGELES CA 90029
LOS ANGELES county
Map

Issuance Date

August 12, 1993

Expiration Date

August 31, 2026

Current Date / Time

June 22, 2025
2:41:47 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VADADENT MODERN DENTAL GROUP, TABIBI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10063 Primary Status: Expired

Address :
16002 HAWTHORNE BOULEVARD
LAWNDALE CA 90620
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: VADADENT MODERN DENTAL GROUP, TABIBI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10063 Primary Status: Expired

Address :
16002 HAWTHORNE BOULEVARD
LAWNDALE CA 90620
LOS ANGELES COUNTY

Map

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