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Licensing details for: 11738

Name: SIMI VALLEY SMILES DENTISTRY DENTAL GROUP, LAMBRIDIS AND SETAREH

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2650 TAPO CANYON ROAD
SUITE 107
SIMI VALLEY CA 93063
VENTURA county
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Practice Location

2650 TAPO CANYON ROAD
SUITE 107
SIMI VALLEY CA 93063
VENTURA county
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Issuance Date

December 5, 2014

Expiration Date

March 31, 2026

Current Date / Time

June 7, 2025
8:14:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SETAREH, KATAYOUN

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: SETAREH, KATAYOUN

License/Registration Type: Dentist License

License Number: 50822 Primary Status: Current - Active

Address :
18519 Devonshire St
NORTHRIDGE CA 91324-1308

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