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Licensing details for: 81009

Name: BINAFARD KHALILI DENTAL CORP

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

7136 PACIFIC BLVD # 210
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

7136 PACIFIC BLVD UNIT # 210
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

August 6, 2021

Expiration Date

August 31, 2023

Current Date / Time

June 7, 2025
7:38:28 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: BINAFARD, BEHZAD DANIEL

License/Registration Type: Dentist License

License Number: 37388 Primary Status: Current - Active

Address :
14034 Pioneer Blvd
NORWALK CA 90650-3900
LOS ANGELES COUNTY

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