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Licensing details for: 4096

Name: PLAZA DENTAL CLINIC, DENTAL OFFICE OF ALEN GHARIBIAN, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

7028 1/2 VAN NUYS
VAN NUYS CA 91405
LOS ANGELES county
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Issuance Date

January 30, 2003

Expiration Date

August 31, 2004

Current Date / Time

June 6, 2025
6:35:19 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHARIBIAN, ALEN

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: GHARIBIAN, ALEN

License/Registration Type: Dentist License

License Number: 45461 Primary Status: Current - Active

Address :
16819 Hawthorne Blvd
LAWNDALE CA 90260-3219
LOS ANGELES COUNTY

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