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Licensing details for: 17546

Name: WESTLAKE VILLAGE DENTIST DENTAL PRACTICE BY MELINA LOOYZADEH, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1240 S WESTLAKE BLVD., SUITE 201
WESTLAKE VILLAGE CA 91361
VENTURA county
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Practice Location

1240 S WESTLAKE BLVD., SUITE 201
WESTLAKE VILLAGE CA 91361
VENTURA county
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Issuance Date

December 6, 2022

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:2:37 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LOOYZADEH, MELINA

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: LOOYZADEH, MELINA

License/Registration Type: Dentist License

License Number: 59551 Primary Status: Current - Active

Address :
1240 S WESTLAKE BLVD
201
WESTLAKE VILLAGE CA 91361-1929
LOS ANGELES COUNTY

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