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Licensing details for: 18237

Name: GENESIS IMPLANT AND AESTHETIC DENTISTRY DENTAL PRACTICE OF DR. REYHANI DDS INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

10809 WELLWORTH AVE
LOS ANGELES CA 90024
LOS ANGELES county
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Practice Location

10809 WELLWORTH AVE
LOS ANGELES CA 90024
LOS ANGELES county
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Issuance Date

November 13, 2023

Expiration Date

November 30, 2023

Current Date / Time

April 3, 2026
8:07:50 PM

License Relationships

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: REYHANI, BEHNOUD

License/Registration Type: Dentist License

License Number: 56741 Primary Status: Current - Active

Address :
10809 Wellworth Ave
LOS ANGELES CA 90024-4915
LOS ANGELES COUNTY

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