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Licensing details for: 7077

Name: PACIFIC DENTAL GROUP

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6801 LANKERSHIM BLVD, #101
NORTH HOLLYWOOD CA 91605
LOS ANGELES county
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Issuance Date

October 13, 1999

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
3:34:45 PM

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: DERHARTOUNIAN, HARMIK

License/Registration Type: Dentist License

License Number: 41394 Primary Status: Current - Active

Address :
111 S Garfield Ave
101
MONTEBELLO CA 90640-3800
LOS ANGELES COUNTY

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