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Licensing details for: 18933

Name: KDA ORTHODONTICS DENTAL PRACTICE OF JIL-AGOPIAN, KIRIKIAN, MOURADIAN PROFESSIONAL DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4787 SANTA MONICA BLVD
LOS ANGELES CA 90029
LOS ANGELES county
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Practice Location

4787 SANTA MONICA BLVD
LOS ANGELES CA 90029
LOS ANGELES county
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Issuance Date

September 18, 2024

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
2:1:26 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIRIKIAN, GARY GARABED

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: JIL-AGOPIAN, ARA GARABET

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOURADIAN, VICTORIA

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: MOURADIAN, VICTORIA

License/Registration Type: Dentist License

License Number: 62435 Primary Status: Current - Active

Address :
4787 Santa Monica Blvd
LOS ANGELES CA 90029-2631
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: KIRIKIAN, GARY GARABED

License/Registration Type: Dentist License

License Number: 101777 Primary Status: Current - Active

Address :
4787 Santa Monica Blvd
LOS ANGELES CA 90029-2631
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: JIL-AGOPIAN, ARA GARABET

License/Registration Type: Dentist License

License Number: 51082 Primary Status: Current - Active

Address :
27225 CAMP PLENTY RD SUITE 10A
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

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