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Licensing details for: 79946

Name: JOHN TCHABOUKIAN DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

750 N. DIAMOND BAR BLVD. SUITE 216
DIAMOND BAR CA 91765
LOS ANGELES county
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Practice Location

750 N. DIAMOND BAR BLVD. SUITE 216
DIAMOND BAR CA 91765
LOS ANGELES county
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Issuance Date

December 27, 2018

Expiration Date

October 31, 2023

Current Date / Time

June 7, 2025
12:26:14 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: TCHABOUKIAN, JOHN OHANNES MANUEL

License/Registration Type: Dentist License

License Number: 56402 Primary Status: Current - Active

Address :
750 N Diamond Bar Blvd
216
DIAMOND BAR CA 91765-1023
LOS ANGELES COUNTY

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