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Licensing details for: 10590

Name: 101 DENTAL GROUP, AMIR H. CHOROOMI, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: 101 DENTAL GROUP

Address of Record

7259 OWENSMOUTH AVENUE
CANOGA PARK CA 91303
LOS ANGELES county
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Practice Location

7259 OWENSMOUTH AVENUE
CANOGA PARK CA 91303
LOS ANGELES county
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Issuance Date

July 3, 2013

Expiration Date

June 30, 2022

Current Date / Time

September 9, 2025
2:8:50 AM

License Relationships

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: CHOROOMI, AARON

License/Registration Type: Dentist License

License Number: 54634 Primary Status: Current - Active

Address :
5809 Kanan Rd
AGOURA HILLS CA 91301-1651
LOS ANGELES COUNTY

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