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Licensing details for: 56690

Name: NATTIV, NINA MOLAYEM

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: MOLAYEM, NINA REBECCA

Address of Record

12820 INGLEWOOD AVE
HAWTHORNE CA 90250
LOS ANGELES county
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Issuance Date

December 11, 2007

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
7:50:9 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: POLISHED DENTAL, PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 13585 Primary Status: Cancelled

Address :
9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: POLISHED DENTAL, DENTAL PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 15102 Primary Status: Cancelled

Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
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: POLISHED DENTAL, PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 13585 Primary Status: Cancelled

Address :
9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
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: POLISHED DENTAL, DENTAL PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 15102 Primary Status: Cancelled

Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY

Map

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