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Licensing details for: 4031

Name: WLA DENTAL CENTER, A DENTAL GROUP OF

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1950 SAWTELLE BLVD, STE 100
LOS ANGELES CA 90025
LOS ANGELES county
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Practice Location

10780 Santa Monica Blvd
Ste 355
LOS ANGELES CA 90025-4749
LOS ANGELES county
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Issuance Date

January 2, 2003

Expiration Date

March 31, 2026

Current Date / Time

April 3, 2026
4:28:28 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: SAMENI, ABDI

License/Registration Type: Dentist License

License Number: 39203 Primary Status: Current - Active

Address :
10780 Santa Monica Blvd
STE 355
LOS ANGELES CA 90025-4749
LOS ANGELES COUNTY

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