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Licensing details for: 13500

Name: CRYSTAL DENTAL, PRACTICE OF DR. ALEXANDER S. MORADZADEH DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2206 S FIGUEROA ST
LOS ANGELES CA 90007
LOS ANGELES county
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Practice Location

2206 S FIGUEROA ST
LOS ANGELES CA 90007
LOS ANGELES county
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Issuance Date

May 11, 2017

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
10:4:0 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MORADZADEH, ALEXANDER S

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: MORADZADEH, ALEXANDER S

License/Registration Type: Dentist License

License Number: 57506 Primary Status: Current - Active

Address :
2206 S Figueroa St
LOS ANGELES CA 90007-2049
LOS ANGELES COUNTY

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