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Licensing details for: 18446

Name: GRIN & LITTLE PEDIATRIC DENTISTRY DENTAL PRACTICE OF LUCY HALLAJIAN, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

19510 VENTURA BLVD STE 240
TARZANA CA 91356
LOS ANGELES county
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Practice Location

19510 VENTURA BLVD STE 240
TARZANA CA 91356
LOS ANGELES county
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Issuance Date

March 14, 2024

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
10:0:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HALLAJIAN, LUCY TANYA

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: HALLAJIAN, LUCY TANYA

License/Registration Type: Dentist License

License Number: 102436 Primary Status: Current - Active

Address :
19500 Ventura Blvd
Ste 240
TARZANA CA 91356-2917
LOS ANGELES COUNTY

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