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Licensing details for: 43171

Name: ISKANDER, AFAF EZZAT

License Type: Dentist

Primary Status: Current - Active

Previous Names: ISKANDER, AFAT EZZAT ISKANDER, AFAF

Address of Record

1526 Sinaloa Ave
PASADENA CA 91104-2744
LOS ANGELES county
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Practice Location

810 E Alosta Ave
AZUSA CA 91702-2706
LOS ANGELES county
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Issuance Date

October 27, 1995

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
7:57:48 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKEVIEW DENTAL GROUP, BISHAY & ISKANDER DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7029 Primary Status: Cancelled

Address :
709 N. LAKE AVE.
PASADENA CA 91104
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKEVIEW DENTAL GROUP, ISKANDER DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 8031 Primary Status: Expired

Address :
709 N LAKE AVENUE
PASADENA CA 91104
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: LAKEVIEW DENTAL GROUP, BISHAY & ISKANDER DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7029 Primary Status: Cancelled

Address :
709 N. LAKE AVE.
PASADENA CA 91104
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: LAKEVIEW DENTAL GROUP, ISKANDER DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 8031 Primary Status: Expired

Address :
709 N LAKE AVENUE
PASADENA CA 91104
LOS ANGELES COUNTY

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OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: ISKANDER, AFAF EZZAT

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 334 Primary Status: Cancelled

Address :
709 N Lake Ave
Lakeview Dental
PASADENA CA 91104-4558
LOS ANGELES COUNTY

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