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Licensing details for: 3272

Name: HARBOR DENTAL OFFICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

440 FAIR DRIVE SUITE R
COSTA MESA CA 92626
ORANGE county
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Issuance Date

July 5, 2001

Expiration Date

February 28, 2007

Current Date / Time

December 16, 2025
11:19:42 AM

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: KOUYOUMDJIAN, LEVON GARBIS

License/Registration Type: Dentist License

License Number: 47500 Primary Status: Expired

Address :
6703 Green Gable Mnr
SPRING TX 77389-3069
HARRIS COUNTY

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