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Licensing details for: 13535

Name: BELL PLAZA DENTAL GROUP OF MOJDEH FATEMI, DDS. A PROFESSIONAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5707 ATLANTIC BLVD STE A1
MAYWOOD CA 90270
LOS ANGELES county
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Practice Location

5707 ATLANTIC BLVD STE A1
MAYWOOD CA 90270
LOS ANGELES county
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Issuance Date

May 19, 2017

Expiration Date

March 31, 2024

Current Date / Time

June 6, 2025
9:59:26 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: FATEMI, MOJDEH

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: FATEMI, MOJDEH

License/Registration Type: Dentist License

License Number: 45857 Primary Status: Current - Active

Address :
5707 Atlantic Blvd
Suite A1
Bell Plaza Dental
MAYWOOD CA 90270-2944
LOS ANGELES COUNTY

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