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Licensing details for: 11213

Name: LIPP FAMILY DENTISTRY, DENTAL OFFICE OF DARA KIMIA, D.M.D., A DEN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LIPP FAMILY DENTISTRY DENTAL OFFICE OF DR. WALLACE LIPP AND DR. DARA KIMIA

Address of Record

16605 DEVONSHIRE STREET
GRANADA HILLS CA 91344
LOS ANGELES county
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Practice Location

16605 DEVONSHIRE STREET
GRANADA HILLS CA 91344
LOS ANGELES county
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Issuance Date

April 11, 2014

Expiration Date

December 10, 2018

Current Date / Time

June 7, 2025
7:54:54 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIMIA, DARA

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: KIMIA, DARA

License/Registration Type: Dentist License

License Number: 61127 Primary Status: Current - Active

Address :
16605 DEVINSHIRE ST
LOS ANGELES CA 91344
LOS ANGELES COUNTY

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