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Licensing details for: 10732

Name: SANTA ANITA DENTAL GROUP, HAMBIK OKTANYAN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

721 W. HUNTINGTON DRIVE SUITE B
ARCADIA CA 91007
LOS ANGELES county
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Practice Location

721 W. HUNTINGTON DRIVE SUITE B
ARCADIA CA 91007
LOS ANGELES county
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Issuance Date

September 13, 2013

Expiration Date

May 31, 2021

Current Date / Time

June 6, 2025
1:53:31 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WATANABE, BRYAN KAZUMI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: OKTANYAN, HAMBIK

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COMPEAN, CARLOS GUILLERMO

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHAZAL, CAROLYN G

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KUO, JANE YI-JEN

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: KUO, JANE YI-JEN

License/Registration Type: Dentist License

License Number: 50296 Primary Status: Current - Active

Address :
19286 Stevens Creek Blvd
CUPERTINO CA 95014-2504
SANTA CLARA COUNTY

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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: OKTANYAN, HAMBIK

License/Registration Type: Dentist License

License Number: 52096 Primary Status: Current - Active

Address :
2220 Foothill Blvd Ste A
LA CANADA FLINTRIDGE CA 91011-1413
LOS ANGELES COUNTY

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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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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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: WATANABE, BRYAN KAZUMI

License/Registration Type: Dentist License

License Number: 40130 Primary Status: Current - Active

Address :
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE COUNTY

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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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES COUNTY

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