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Licensing details for: 11653

Name: CYPRESS DENTAL CLINIC, DENTAL OFFICE OF DR DIPTI ACHHNANI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: CYPRESS DENTAL CLINIC DENTAL OFFICE OF DR DIPTI ACHHNANI

Address of Record

2135 CYPRESS AVE
LOS ANGELES CA 90065
LOS ANGELES county
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Practice Location

2135 CYPRESS AVE
LOS ANGELES CA 90065
LOS ANGELES county
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Issuance Date

October 10, 2014

Expiration Date

May 31, 2020

Current Date / Time

June 6, 2025
2:8:33 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ACHHNANI, DIPTI DIPAK

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: ACHHNANI, DIPTI DIPAK

License/Registration Type: Dentist License

License Number: 35064 Primary Status: Current - Inactive

Address :
2630 SYCAMORE AVE
MONTROSE CA 91020
LOS ANGELES COUNTY

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