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Licensing details for: 17798

Name: ELITE DENTAL GROUP GARABEDIAN DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE county
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Practice Location

23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE county
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Issuance Date

May 1, 2023

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
10:13:4 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GARABEDIAN, RAFFIE

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: GARABEDIAN, RAFFIE

License/Registration Type: Dentist License

License Number: 101453 Primary Status: Current - Active

Address :
2920 Manhattan Ave
LA CRESCENTA CA 91214-3833
LOS ANGELES COUNTY

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