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Licensing details for: 16293

Name: WESTWOOD ORAL SURGERY DENTAL GROUP- ELI TABARIAI DMD, INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1700 WESTWOOD BLVD SUITE 2A
LOS ANGELES CA 90024
LOS ANGELES county
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Practice Location

11980 San Vicente Blvd
Suite 802
LOS ANGELES CA 90049-5012
LOS ANGELES county
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Issuance Date

February 10, 2021

Expiration Date

February 28, 2026

Current Date / Time

June 22, 2025
5:16:16 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TABARIAI, ELI

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: TABARIAI, ELI

License/Registration Type: Dentist License

License Number: 56696 Primary Status: Current - Active

Address :
11980 SAN VICENTE BLVD
#802
LOS ANGELES CA 90049
LOS ANGELES COUNTY

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