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Licensing details for: 6501

Name: VALENCIA DENTAL GROUP AT COPPER HILL, ELIE AND PHAM DENTAL CORPOR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: VALENCIA DENTAL GROUP OF COPPER HILL, ELIE AND PHAM DENTAL CORPORATION

Address of Record

28134 NEWHALL RANCH RD.
VALENCIA CA 91355
LOS ANGELES county
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Issuance Date

October 2, 2006

Expiration Date

August 31, 2017

Current Date / Time

June 6, 2025
10:1:56 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELIE, ARASH

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: 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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