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Licensing details for: 81364

Name: R. EDALATPAJOUH DENTAL INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: R. Edalatpajouh Dental Inc

Address of Record

2205 E PALMDALE BLVD
PALMDALE CA 93550
LOS ANGELES county
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Practice Location

2205 E PALMDALE BLVD
PALMDALE CA 93550
LOS ANGELES county
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Issuance Date

November 17, 2022

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
2:26:36 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, RYAN

License/Registration Type: Dentist License

License Number: 103910 Primary Status: Current - Active

Address :
4332 E Slauson Ave
MAYWOOD CA 90270-2848
LOS ANGELES COUNTY

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