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Licensing details for: 16630

Name: HEALTHY SMILES OF LA CRESCENTA, DENTAL OFFICE OF ASATRYAN & BAKHTAMIAN DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: HEALTHU SMILES OF LA CRESCENTA

Address of Record

2644 FOOTHILL BLVD
LA CRESCENTA CA 91214
LOS ANGELES county
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Practice Location

2644 FOOTHILL BLVD
LA CRESCENTA CA 91214
LOS ANGELES county
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Issuance Date

July 2, 2021

Expiration Date

May 31, 2023

Current Date / Time

June 6, 2025
2:0:28 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BAKHTAMIAN, ALEN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ASATRYAN, SONA

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: ASATRYAN, SONA

License/Registration Type: Dentist License

License Number: 58684 Primary Status: Current - Active

Address :
301 S. FAIROAKS SUITE 206
PASADENA CA 91105
LOS ANGELES COUNTY

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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: BAKHTAMIAN, ALEN

License/Registration Type: Dentist License

License Number: 39753 Primary Status: Expired

Address :
10059 Laurel Canyon Blvd
PACOIMA CA 91331-3847

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