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Licensing details for: 3060

Name: DR. NAMIAN FAMILY DENTISTRY DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

609 S ATLANTIC BLVD
LOS ANGELES CA 90022
LOS ANGELES county
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Issuance Date

February 2, 2001

Expiration Date

March 31, 2023

Current Date / Time

June 7, 2025
4:21:46 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NAMIAN, MAHMOUD

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BORJIAN, MARYAM

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: BORJIAN, MARYAM

License/Registration Type: Dentist License

License Number: 41063 Primary Status: Current - Active

Address :
10350 SUMMER HOLLY CIR
LOS ANGELES CA 90077
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: NAMIAN, MAHMOUD

License/Registration Type: Dentist License

License Number: 40689 Primary Status: Current - Active

Address :
10350 Summer Holly Cir
LOS ANGELES CA 90077-2116
LOS ANGELES COUNTY

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