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Licensing details for: 15612

Name: BRIGHTLEAF DENTAL DENTAL OFFICE OF NAZILA SATVAT DDS INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1304 15TH ST. STE 209
SANTA MONICA CA 90404
LOS ANGELES county
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Practice Location

1304 15TH ST. STE 209
SANTA MONICA CA 90404
LOS ANGELES county
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Issuance Date

January 13, 2020

Expiration Date

November 30, 2022

Current Date / Time

April 4, 2026
7:04:38 PM

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: SATVAT, NAZILA

License/Registration Type: Dentist License

License Number: 64510 Primary Status: Current - Active

Address :
70 Visionary
IRVINE CA 92618-1108
ORANGE COUNTY

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