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Licensing details for: 19510

Name: EL MONTE SMILE DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

10755 LOWER AZUSA RD STE D
EL MONTE CA 91731
LOS ANGELES county
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Issuance Date

May 12, 2025

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
1:38:1 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BEHJOU, SHAHRIYAR

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: BEHJOU, SHAHRIYAR

License/Registration Type: Dentist License

License Number: 41352 Primary Status: Current - Active

Address :
10755 Lower Azusa Rd.
Ste. B,C,D
EL MONTE CA 91731

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