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Licensing details for: 11327

Name: SMILE DENTAL, PRACTICE OF H.R. IMANKHAN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: SMILE DENTAL PRACTICE OF H.R. IMANKHAN, DDS, INC.

Address of Record

3356 E OLYMPIC BLVD
LOS ANGELES CA 90023
LOS ANGELES county
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Practice Location

11395 Atlantic Ave
Suite A
LYNWOOD CA 90262
LOS ANGELES county
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Issuance Date

June 6, 2014

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
3:2:33 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: IMANKHAN, HAMID REZA

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: IMANKHAN, HAMID REZA

License/Registration Type: Dentist License

License Number: 46073 Primary Status: Current - Active

Address :
11395 Atlantic Ave
LYNWOOD CA 90262-2485
LOS ANGELES COUNTY

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