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Licensing details for: 79931

Name: DR. SHAGRAMANOVA DENTAL GROUP, INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3175 FIRESTONE BLVD.
SOUTH GATE CA 90280
LOS ANGELES county
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Practice Location

3175 FIRESTONE BLVD.
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

December 13, 2018

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
11:48:21 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: SHAGRAMANOVA, NATALYA

License/Registration Type: Dentist License

License Number: 54204 Primary Status: Current - Active

Address :
1755 MELWOOD DR
GLENDALE CA 91207
LOS ANGELES COUNTY

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