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Licensing details for: 1454

Name: TABARIAI, ELI

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

11980 San Vicente Blvd
802
LOS ANGELES CA 90049-5012
LOS ANGELES county
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Issuance Date

July 23, 2008

Expiration Date

February 28, 2026

Current Date / Time

June 21, 2025
9:42:47 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESTWOOD ORAL SURGERY DENTAL GROUP- ELI TABARIAI DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 16293 Primary Status: Current - Active

Address :
11980 San Vicente Blvd
Suite 802
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TMJ THERAPY AND SLEEP APNEA DENTISTRY, DENTAL GROUP ELI TABARIAI D.M.D, INC

License/Registration Type: Fictitious Name Permit

License Number: 16466 Primary Status: Expired

Address :
8500 WILSGIRE BLVD SUITE 105
BEVERLY HILLS CA 90211
LOS ANGELES COUNTY

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GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: TABARIAI, ELI

License/Registration Type: Dentist License

License Number: 56696 Primary Status: Current - Active

Address :
11980 SAN VICENTE BLVD
#802
LOS ANGELES CA 90049
LOS ANGELES COUNTY

Map

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