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Licensing details for: 5243

Name: PIONEER DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

14034 S PIONEER BLVD
NORWALK CA 90650
LOS ANGELES county
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Issuance Date

November 1, 2004

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
6:57:37 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BINAFARD, BEHZAD DANIEL

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: BINAFARD, BEHZAD DANIEL

License/Registration Type: Dentist License

License Number: 37388 Primary Status: Current - Active

Address :
14034 Pioneer Blvd
NORWALK CA 90650-3900
LOS ANGELES COUNTY

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