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Licensing details for: 79589

Name: BEZAD DENTAL GROUP PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5620 WILBUR AVE STE 310
TARZANA CA 91356
LOS ANGELES county
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Practice Location

5620 WILBUR AVE STE 310
TARZANA CA 91356
LOS ANGELES county
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Issuance Date

February 15, 2018

Expiration Date

October 31, 2021

Current Date / Time

June 7, 2025
12:10:23 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: BEZAD, PATRICIA

License/Registration Type: Dentist License

License Number: 54696 Primary Status: Current - Active

Address :
20 Irwin Way #721
ORINDA CA 94563

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