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Licensing details for: 13585

Name: POLISHED DENTAL, PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
LOS ANGELES county
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Practice Location

9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
LOS ANGELES county
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Issuance Date

June 16, 2017

Expiration Date

August 31, 2018

Current Date / Time

June 6, 2025
10:1:36 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOLAYEM, ALEXANDER KAMRAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NATTIV, NINA MOLAYEM

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: MOLAYEM, ALEXANDER KAMRAN

License/Registration Type: Dentist License

License Number: 101179 Primary Status: Cancelled

Address :
9675 Brighton Way
Suite 210
BEVERLY HILLS CA 90210-5100
LOS ANGELES COUNTY

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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: NATTIV, NINA MOLAYEM

License/Registration Type: Dentist License

License Number: 56690 Primary Status: Current - Active

Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY

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