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Licensing details for: 14766

Name: ORTHODONTIC CENTERS OF CALIFORNIA DENTAL PRACTICE OF JIL-AGOPIAN PROFESSIONAL DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

10727 WHITE OAK AVE #215
GRANADA HILLS CA 91344
LOS ANGELES county
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Practice Location

10727 WHITE OAK AVE #215
GRANADA HILLS CA 91344
LOS ANGELES county
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Issuance Date

January 25, 2019

Expiration Date

February 28, 2022

Current Date / Time

June 7, 2025
4:36:28 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: JIL-AGOPIAN, ARA GARABET

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: JIL-AGOPIAN, ARA GARABET

License/Registration Type: Dentist License

License Number: 51082 Primary Status: Current - Active

Address :
27225 CAMP PLENTY RD SUITE 10A
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

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