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Licensing details for: 10017

Name: STATE DENTAL GROUP, PEDRAM SOLTANZADEH, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: PEDRAM SOLTANZADEH, DMD., INC STATE DENTAL GROUP

Address of Record

7511 STATE STREET
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

7511 STATE STREET
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

June 28, 2012

Expiration Date

September 30, 2016

Current Date / Time

June 6, 2025
7:3:54 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SOLTANZADEH, PEDRAM

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SOLTANZADEH, PEDRAM

License/Registration Type: Dentist License

License Number: 52781 Primary Status: Current - Active

Address :
13471-B TELEGRAPH RD
WHITTIER CA 90605
LOS ANGELES COUNTY

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