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Licensing details for: 13367

Name: ELEVATE DENTAL DENTAL OFFICE OF A DR. NAVID SAFAEI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

16311 VENTURA BLVD 785
ENCINO CA 91436
LOS ANGELES county
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Practice Location

16311 VENTURA BLVD #785
ENCINO CA 91436
LOS ANGELES county
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Issuance Date

March 13, 2017

Expiration Date

September 30, 2021

Current Date / Time

June 6, 2025
10:44:14 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAFAEI, NAVID

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: SAFAEI, NAVID

License/Registration Type: Dentist License

License Number: 59413 Primary Status: Current - Active

Address :
6663 Ming Ave
BAKERSFIELD CA 93309-3491

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