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Licensing details for: 5712

Name: VALENCIA DENTAL GROUP, ELIE PROFESSIONAL DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

26938 THE OLD ROAD
VALENCIA CA 91355
LOS ANGELES county
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Issuance Date

August 25, 2005

Expiration Date

July 31, 2025

Current Date / Time

October 30, 2025
1:13:20 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: ELIE, ARASH

License/Registration Type: Dentist License

License Number: 47470 Primary Status: Current - Active

Address :
15740 GREENLEAF STREET
ENCINO CA 91436
LOS ANGELES COUNTY

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