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Licensing details for: 9848

Name: LILI MIRTORABI, DDS, A PROF. CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LILI MIRTORABI

Address of Record

13252 HAWTHORNE BLVD.
STE. 200
HAWTHORNE CA 90250
LOS ANGELES county
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Issuance Date

February 19, 2009

Expiration Date

December 31, 2015

Current Date / Time

June 22, 2025
12:31:19 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: MIRTORABI, LILI

License/Registration Type: Dentist License

License Number: 42574 Primary Status: Current - Active

Address :
7722 SEVILLE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY

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