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Licensing details for: 4531

Name: WALL STREET DENTAL OFFICE, FARSHAD LABIB, DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

1100 WALL STREET, STE 217
LOS ANGELES CA 90015
LOS ANGELES county
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Issuance Date

October 2, 2003

Expiration Date

October 31, 2021

Current Date / Time

December 17, 2025
9:55:4 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: LABIB, FARSHAD

License/Registration Type: Dentist License

License Number: 39172 Primary Status: Current - Active

Address :
1125 S BEVERLY DR #525
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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