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Licensing details for: 4004

Name: HUNTINGTON PARK DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2901 A EAST FLORENCE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

December 9, 2002

Expiration Date

July 31, 2012

Current Date / Time

December 13, 2025
7:56:42 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: 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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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: SADIGHIM, KAMYAR

License/Registration Type: Dentist License

License Number: 45969 Primary Status: Current - Active

Address :
2926 E Cesar E Chavez Ave
LOS ANGELES CA 90033-3110
LOS ANGELES COUNTY

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