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Licensing details for: 2907

Name: LIBERTY DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5875 S VERMONT AVENUE
LOS ANGELES CA 90044
LOS ANGELES county
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Issuance Date

October 2, 2000

Expiration Date

May 31, 2008

Current Date / Time

June 6, 2025
9:52:51 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOUNESI, HAMID

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: YOUNESI, HAMID

License/Registration Type: Dentist License

License Number: 45796 Primary Status: Current - Active

Address :
73585 fred waring dr
101
73585 fred waring dr
PALM DESERT CA 92260
RIVERSIDE COUNTY

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