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Licensing details for: 11498

Name: KIDS AND FAMILY DENTAL PLACE, DENTAL GROUP OF BAYRAMYAN DDS DENTA

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

14422 VICTORY BLVD
VAN NUYS CA 91401
LOS ANGELES county
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Practice Location

14422 VICTORY BLVD
VAN NUYS CA 91401
LOS ANGELES county
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Issuance Date

September 3, 2014

Expiration Date

June 30, 2023

Current Date / Time

June 7, 2025
4:20:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BAYRAMYAN, JACK

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HABASHI, AFSHIN

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: HABASHI, AFSHIN

License/Registration Type: Dentist License

License Number: 43789 Primary Status: Current - Active

Address :
6101 Mission Gorge Rd
SAN DIEGO CA 92120-3401
SAN DIEGO 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: BAYRAMYAN, JACK

License/Registration Type: Dentist License

License Number: 51044 Primary Status: Current - Active

Address :
2141 Rimcrest Dr
GLENDALE CA 91207-1058
LOS ANGELES COUNTY

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