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Licensing details for: 64596

Name: LATSHIKYAN, ELMIRA AMY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

62 Downfield Way
COTO DE CAZA CA 92679-5004
ORANGE county
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Practice Location

130 S Main St
Suite A-D
ORANGE CA 92868-2869
ORANGE county
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Issuance Date

June 23, 2015

Expiration Date

March 31, 2027

Current Date / Time

December 13, 2025
7:15:8 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: LATSHIKYAN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79591 Primary Status: Current - Active

Address :
8162 E SANTA ANA CANYON RD STE 104
ANAHEIM CA 92808
ORANGE COUNTY

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AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: ELMIRA LATSHIKYAN, DDS

License/Registration Type: Additional Office Permit

License Number: 82206 Primary Status: Current - Active

Address :
13327 FLORENCE AVENUE
SANTA FE SPRINGS CA 90670

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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: DENTISTS OF ANAHEIM HILLS DENTAL GROUP, LATSHIKYAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14062 Primary Status: Current - Active

Address :
8162 E SANTA ANA CANYON RD STE 104
ANAHEIM CA 92808
ORANGE 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: ORANGE MODERN DENTISTRY DENTAL GROUP, ELMIRA LATSHIKYAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19111 Primary Status: Current - Active

Address :
130 S. MAIN STREET, SUITE A
ORANGE CA 92868
ORANGE 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: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18731 Primary Status: Current - Active

Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

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