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Licensing details for: 17508

Name: LOS ALISOS DENTISTRY DENTAL OFFICE OF SARVAIYA DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Sarvaiya Dental Corp

Address of Record

22951 LOS ALISOS BLVD #2
MISSION VIEJO CA 92691
ORANGE county
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Practice Location

22951 LOS ALISOS BLVD #2
MISSION VIEJO CA 92691-2841
ORANGE county
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Issuance Date

November 23, 2022

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
1:54:43 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SARVAIYA, AVANI PRANAY

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: SARVAIYA, AVANI PRANAY

License/Registration Type: Dentist License

License Number: 56521 Primary Status: Current - Active

Address :
1916 N Tustin St
ORANGE CA 92865-4644
ORANGE COUNTY

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