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Licensing details for: 20675

Name: Monrovia Modern Dentistry Dental Group of Monrovia Modern Dentistry, Prof. Corp.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Monrovia Modern Dentistry, Prof. Corp.

Address of Record

460 W. Huntington Dr.
MONROVIA CA 91016
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Issuance Date

May 28, 2026

Expiration Date

May 31, 2028

Current Date / Time

June 5, 2026
8:13:50 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: BHATIA, PRIYADARSHINI

License/Registration Type: Dentist License

License Number: 55789 Primary Status: Current - Active

Address :
1573 S HARBOR BLVD
FULLERTON CA 92832
ORANGE 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: 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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