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Licensing details for: 43987

Name: KHABBAZ, LILIANA GABY

License Type: Dentist

Primary Status: Current - Active

Previous Names: KHABBAZ, LILIANA BABY

Address of Record

22770 SOLEDAD CANYON RD
SANTA CLARITA CA 91350
LOS ANGELES county
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Practice Location

22770 Soledad Canyon Rd
SANTA CLARITA CA 91350-2629
LOS ANGELES county
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Issuance Date

October 29, 1996

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
8:33:31 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PREMIER CARE DENTAL GROUP-OFFICE OF ROUHANI & KHABBAZ DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 10952 Primary Status: Current - Active

Address :
310 SOUTH LAKE AVENUE
PASADENA CA 91101
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTA CLARITA VALLEY DENTAL GROUP A KHABBAZ AND ROUHANI DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 15327 Primary Status: Current - Active

Address :
22770 W. SOLEDAD CANYON ROAD
SANTA CLARITA CA 91350
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: PREMIER CARE DENTAL GROUP-OFFICE OF ROUHANI & KHABBAZ DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 10952 Primary Status: Current - Active

Address :
310 SOUTH LAKE AVENUE
PASADENA CA 91101
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: SANTA CLARITA VALLEY DENTAL GROUP A KHABBAZ AND ROUHANI DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 15327 Primary Status: Current - Active

Address :
22770 W. SOLEDAD CANYON ROAD
SANTA CLARITA CA 91350
LOS ANGELES COUNTY

Map

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: KHABBAZ, LILIANA GABY

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3549 Primary Status: Current - Active

Address :
310 S Lake Ave
PASADENA CA 91101-3537
LOS ANGELES COUNTY

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