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Licensing details for: 17740

Name: DENTISTS OF CANOGA PARK DENTAL GROUP, AMBER GILBERT DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES county
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Practice Location

8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES county
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Issuance Date

March 30, 2023

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
1:46:32 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HUYNH, PHI CANH

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GILBERT, AMBER YVONNE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GALSTYAN, MARTIN ARAMIS

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZAKLAMA, KARIM MAGID

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: THOMAS, TREVOR JAMAL

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: HUYNH, PHI CANH

License/Registration Type: Dentist License

License Number: 56413 Primary Status: Current - Active

Address :
11700 Heliotrope Ct
BAKERSFIELD CA 93311-8751
KERN 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: ZAKLAMA, KARIM MAGID

License/Registration Type: Dentist License

License Number: 61349 Primary Status: Current - Active

Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
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: GILBERT, AMBER YVONNE

License/Registration Type: Dentist License

License Number: 103382 Primary Status: Current - Active

Address :
8393 Topanga Canyon Blvd
WEST HILLS CA 91304-2343
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: GALSTYAN, MARTIN ARAMIS

License/Registration Type: Dentist License

License Number: 61923 Primary Status: Current - Active

Address :
PO BOX 909
GLENDALE CA 91209
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: THOMAS, TREVOR JAMAL

License/Registration Type: Dentist License

License Number: 100514 Primary Status: Current - Active

Address :
11980 San Vicente Blvd
Ste. 507
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY

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