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Licensing details for: 11177

Name: HOVSEP NARGIZYAN PROFESSIONAL DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

13521 SHERMAN WAY #H
VAN NUYS CA 91405
LOS ANGELES county
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Practice Location

13521 SHERMAN WAY
SUITE H
VAN NUYS CA 91405
LOS ANGELES county
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Issuance Date

August 15, 2013

Expiration Date

May 31, 2022

Current Date / Time

June 6, 2025
2:22:6 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: NARGIZYAN, HOVSEP

License/Registration Type: Dentist License

License Number: 51112 Primary Status: Current - Active

Address :
1830 Rosita Dr
GLENDALE CA 91208
LOS ANGELES COUNTY

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