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Licensing details for: 81739

Name: FARAZ EDALATPAJOUH DENTAL INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1210 W REDONDO BEACH BLVD
GARDENA CA 90247
LOS ANGELES county
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Practice Location

1210 W REDONDO BEACH BLVD
GARDENA CA 90247
LOS ANGELES county
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Issuance Date

March 12, 2024

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
11:42:47 PM

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, FARAZ

License/Registration Type: Dentist License

License Number: 64298 Primary Status: Current - Active

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

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