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Licensing details for: 19074

Name: DIAMOND BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES county
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Practice Location

9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES county
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Issuance Date

November 19, 2024

Expiration Date

January 31, 2028

Current Date / Time

December 15, 2025
12:41:40 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: DIRECTOR, CHELSEA MISHA

License/Registration Type: Dentist License

License Number: 107589 Primary Status: Current - Active

Address :
9055 Woodman Ave
ARLETA CA 91331-6404
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: COPPELSON, KEVIN BEHRANG

License/Registration Type: Dentist License

License Number: 101077 Primary Status: Current - Active

Address :
27901 La Paz Rd
Ste D,
LAGUNA NIGUEL CA 92677-3932

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