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Licensing details for: 80327

Name: EDALATPAJOUH DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1125 S, BERVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES county
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Practice Location

1125 S. BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES county
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Issuance Date

October 9, 2019

Expiration Date

June 30, 2022

Current Date / Time

December 16, 2025
10:54:32 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: EDALATPAJOUH, FARAMARZ

License/Registration Type: Dentist License

License Number: 40811 Primary Status: Current - Active

Address :
1125 S BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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