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Licensing details for: 12670

Name: WEST VALLEY ORAL SURGERY GROUP, DENTAL OFFICE OF DR. SERGEY LOKOT

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5363 BALBOA BLVD, #233
ENCINO CA 91316
LOS ANGELES county
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Practice Location

5363 BALBOA BLVD, #233
ENCINO CA 91316
LOS ANGELES county
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Issuance Date

February 18, 2016

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
2:57:27 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LOKOT, SERGEY M

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: LOKOT, SERGEY M

License/Registration Type: Dentist License

License Number: 58921 Primary Status: Current - Active

Address :
5363 Balboa Blvd
suite 233
ENCINO CA 91316-2805
LOS ANGELES COUNTY

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