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Licensing details for: 4322

Name: BRENTWOOD DENTAL GROUP, H ROSTAMI DDS, A

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

11980 San Vicente Blvd Ste 660
LOS ANGELES CA 90049-6641
LOS ANGELES county
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Issuance Date

June 27, 2003

Expiration Date

June 30, 2026

Current Date / Time

April 3, 2026
3:46:11 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: ROSTAMI, HAROUN

License/Registration Type: Dentist License

License Number: 42411 Primary Status: Current - Active

Address :
11980 San Vicente Blvd
Suite 660
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY

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