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Licensing details for: 18494

Name: DENTISTS OF ROSEMEAD DENTAL GROUP, CLAUDIA CAMACHO DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES county
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Practice Location

1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
LOS ANGELES county
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Issuance Date

April 3, 2024

Expiration Date

October 31, 2026

Current Date / Time

October 30, 2025
12:47:56 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: 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: NITTAYO, NATHAN D

License/Registration Type: Dentist License

License Number: 107158 Primary Status: Current - Active

Address :
1717 Walnut Grove Ave Ste 500
ROSEMEAD CA 91770-3799
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: 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: CAMACHO, CLAUDIA

License/Registration Type: Dentist License

License Number: 103989 Primary Status: Current - Active

Address :
892 W Beverly Blvd
MONTEBELLO CA 90640-4213
LOS ANGELES COUNTY

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