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Licensing details for: 17545

Name: NORMANDIE DENTAL CLINIC DENTAL OFFICE OF DR. EDWARD MATEVOSIAN

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: Normandie Dental Clinic NORMANDIE DENTAL CLINIC

Address of Record

190 W. ADAMS BLVD
LOS ANGELES CA 90007-1535
LOS ANGELES county
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Practice Location

1690 W. Adams Blvd
LOS ANGELES CA 90007
LOS ANGELES county
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190 W. ADAMS BLVD
LOS ANGELES CA 90007
LOS ANGELES county
Map

Issuance Date

December 6, 2022

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
9:57:7 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MATEVOSIAN, EDWARD

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MATEVOSIAN, EDWARD

License/Registration Type: Dentist License

License Number: 41651 Primary Status: Current - Active

Address :
1690 W Adams Blvd
LOS ANGELES CA 90007-1535
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: MATEVOSIAN, EDWARD

License/Registration Type: Dentist License

License Number: 41651 Primary Status: Current - Active

Address :
1690 W Adams Blvd
LOS ANGELES CA 90007-1535
LOS ANGELES COUNTY

Map

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