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Licensing details for: 10412

Name: H.R.IMANKHAN, DDS, INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2256 E OLYMPIC BLVD
LOS ANGELES CA 90023
LOS ANGELES county
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Practice Location

33565 E OLYMPIC BLVD
LOS ANGELES CA 90023
LOS ANGELES county
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Issuance Date

February 24, 2011

Expiration Date

November 30, 2011

Current Date / Time

December 13, 2025
9:45:43 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: IMANKHAN, HAMID REZA

License/Registration Type: Dentist License

License Number: 46073 Primary Status: Current - Active

Address :
11395 Atlantic Ave
LYNWOOD CA 90262-2485
LOS ANGELES COUNTY

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