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Licensing details for: 3913

Name: BRIGHTER SMILE DENTAL OFFICE, CYRUS CALLOS, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

9501 VAN NUYS BLVD, STE 115
PANORAMA CITY CA 91402
LOS ANGELES county
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Issuance Date

September 25, 2002

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
9:50:43 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CALLOS, CYRUS B

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CALLOS, CYRUS BAGSIK

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: CALLOS, CYRUS BAGSIK

License/Registration Type: Dentist License

License Number: 49286 Primary Status: Current - Active

Address :
9501 VAN NUYS BL
STE 115
PANORAMA CITY CA 91402
LOS ANGELES COUNTY

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