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Licensing details for: 11093

Name: ELY HASSANY, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: ELY HASANY DDS INC

Address of Record

217 W LOS ANGELES AVENUE
MOORPARK CA 93021
VENTURA county
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Practice Location

217 W LOS ANGELES AVENUE
MOORPARK CA 93021
VENTURA county
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Issuance Date

May 21, 2013

Expiration Date

April 30, 2016

Current Date / Time

June 6, 2025
10:14:58 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: HASANY, ELY

License/Registration Type: Dentist License

License Number: 50605 Primary Status: Current - Active

Address :
22114 ROSCOE BLVD
WEST HILLS CA 91304-3838
LOS ANGELES COUNTY

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