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Licensing details for: 79058

Name: NIKOLIN BIMBLI DDS INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

9920 Venice Blvd
CULVER CITY CA 90232-2719
LOS ANGELES county
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Practice Location

9920 Venice Blvd
CULVER CITY CA 90232-2719
LOS ANGELES county
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Issuance Date

August 4, 2016

Expiration Date

May 31, 2021

Current Date / Time

June 6, 2025
10:24:7 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: BIMBLI, NIKOLIN SPIRO

License/Registration Type: Dentist License

License Number: 44147 Primary Status: Current - Active

Address :
13901 S HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES COUNTY

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