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Licensing details for: 15386

Name: SINAI FAMILY DENTISTRY DENTAL OFFICE OF DR. EDALAT PAJOUH

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1125 S. BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES county
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Practice Location

1125 S. BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES county
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Issuance Date

October 2, 2019

Expiration Date

June 30, 2020

Current Date / Time

December 16, 2025
10:53:2 AM

License Relationships

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: EDALATPAJOUH, FARAMARZ

License/Registration Type: Dentist License

License Number: 40811 Primary Status: Current - Active

Address :
1125 S BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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