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Licensing details for: 2547

Name: PACIFIC DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2016 S ATLANTIC BLVD
MONTEREY PARK CA 91754
LOS ANGELES county
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Issuance Date

November 1, 1999

Expiration Date

September 30, 2021

Current Date / Time

December 13, 2025
3:39:4 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: DERHARTOUNIAN, HARMIK

License/Registration Type: Dentist License

License Number: 41394 Primary Status: Current - Active

Address :
111 S Garfield Ave
101
MONTEBELLO CA 90640-3800
LOS ANGELES COUNTY

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