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Licensing details for: 11326

Name: HAMID IMANKHAN, DDS, INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

2634 CLARENDON AVE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

2634 CLARENDON AVE.
HUNTINGTON PARK CA 91364
LOS ANGELES county
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Issuance Date

February 4, 2014

Expiration Date

November 30, 2017

Current Date / Time

June 6, 2025
2:27:36 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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