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Licensing details for: 4692

Name: AFFORDABLE GENTLE DENTAL GROUP, EDDIE SIMAN, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

6600 VAN NUYS BLVD
VAN NUYS CA 91405
LOS ANGELES county
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Issuance Date

December 31, 2003

Expiration Date

October 31, 2011

Current Date / Time

June 6, 2025
1:21:9 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SIMAN, EDDIE

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: SIMAN, EDDIE

License/Registration Type: Dentist License

License Number: 36834 Primary Status: Current - Active

Address :
14629 VENTURA BLVD
SHERMAN OAKS CA 91423
LOS ANGELES COUNTY

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