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Licensing details for: 12783

Name: SOUTH BAY FAMILY DENTAL GROUP SARO SETIAN D.D.S., INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

3445 PACIFIC COAST HIGHWAY, SUITE 305
TORRANCE CA 90505
LOS ANGELES county
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Practice Location

3445 PACIFIC COAST HIGHWAY, SUITE 305
TORRANCE CA 90505
LOS ANGELES county
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Issuance Date

April 15, 2016

Expiration Date

September 30, 2022

Current Date / Time

June 7, 2025
9:56:7 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SETIAN, SARO

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: SETIAN, SARO

License/Registration Type: Dentist License

License Number: 48012 Primary Status: Current - Active

Address :
2815 Sepulveda Blvd Unit 16
TORRANCE CA 90505-2871
LOS ANGELES COUNTY

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