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Licensing details for: 15332

Name: WORKCOMPDENTIST.COM, A DENTAL PRACTICE OF BENARROCH DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

23838 VALENCIA BLVD #230
VALENCIA CA 91355
LOS ANGELES county
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Practice Location

23838 VALENCIA BLVD #230
VALENCIA CA 91355
LOS ANGELES county
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Issuance Date

September 11, 2019

Expiration Date

December 31, 2019

Current Date / Time

June 6, 2025
9:56:49 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BENARROCH, MOSHE

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: BENARROCH, MOSHE

License/Registration Type: Dentist License

License Number: 48431 Primary Status: Current - Active

Address :
11500 W OLYMPIC BLVD #424
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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