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Licensing details for: 2453

Name: SPECIALTY DENTAL GROUP OF RODEF AND GILANI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

416 N BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
LOS ANGELES county
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Issuance Date

July 19, 1999

Expiration Date

January 31, 2001

Current Date / Time

June 7, 2025
4:36:55 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GILANI, SAM

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RODEF, FARIBORZ

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: RODEF, FARIBORZ

License/Registration Type: Dentist License

License Number: 38356 Primary Status: Current - Active

Address :
2233 E GARVEY AVE N
WEST COVINA CA 91791
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: GILANI, SAM

License/Registration Type: Dentist License

License Number: 32308 Primary Status: Current - Active

Address :
9663 Santa Monica Blvd
#1078
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY

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