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Licensing details for: 18052

Name: PACIFIC DENTAL GROUP, PRACTICE OF DERHARTOUNIAN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

111 S GARFILED AVE #101
MONTEBELLO CA 90640-3800
LOS ANGELES county
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Practice Location

111 S GARFILED AVE #101
MONTEBELLO CA 90640-3800
LOS ANGELES county
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Issuance Date

September 1, 2023

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
2:42:14 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DERHARTOUNIAN, HARMIK

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: DERHARTOUNIAN, HARMIK

License/Registration Type: Dentist License

License Number: 41394 Primary Status: Current - Active

Address :
111 S Garfield Ave
101
MONTEBELLO CA 90640-3800
LOS ANGELES COUNTY

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