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Licensing details for: 3108

Name: DE SOTO DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6832 DESOTO AVENUE
CANOGA PARK CA 91303
LOS ANGELES county
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Issuance Date

March 7, 2001

Expiration Date

July 31, 2026

Current Date / Time

December 15, 2025
10:43:3 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: EDALATPAJOUH, FARAMARZ

License/Registration Type: Dentist License

License Number: 40811 Primary Status: Current - Active

Address :
1125 S BEVERLY DRIVE #525
LOS ANGELES CA 90035
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: KALAI, KAMBIZ

License/Registration Type: Dentist License

License Number: 41739 Primary Status: Current - Active

Address :
2915 E FLORENCE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY

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