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Licensing details for: 11036

Name: SMILE ORTHODONTICS, DENTAL PRACTICE OF DANIEL RUFFOLO D.D.S., INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SMILE ORTHODONTICS

Address of Record

2508 E PALMDALE BLVD
SUITE D
PALMDALE CA 93550
LOS ANGELES county
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Practice Location

2508 E PALMDALE BLVD
SUITE D
PALMDALE CA 93550
LOS ANGELES county
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Issuance Date

February 3, 2014

Expiration Date

May 31, 2016

Current Date / Time

June 6, 2025
6:43:41 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHATCHATURIAN, CHRIS

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZARGARIAN, ALBERT

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RUFFOLO, DANIEL VINCENT

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: RUFFOLO, DANIEL VINCENT

License/Registration Type: Dentist License

License Number: 56758 Primary Status: Expired

Address :
1575 MIDDLETON ROAD
SAN DIMAS CA 91773
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: KHATCHATURIAN, CHRIS

License/Registration Type: Dentist License

License Number: 48480 Primary Status: Current - Active

Address :
1020 E AVE J
LANCASTER CA 93535
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: ZARGARIAN, ALBERT

License/Registration Type: Dentist License

License Number: 50845 Primary Status: Current - Active

Address :
2508 E PALMDALE BLVD
PALMDALE CA 93550
LOS ANGELES COUNTY

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