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Licensing details for: 6787

Name: DENTALVILLE, YOUR FAMILY DENTIST, DENTAL OFFICE OF LEONID M. GLOS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: DENTALVILLE

Address of Record

5021 FLORENCE AVE.
BELL CA 90201
LOS ANGELES county
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Issuance Date

March 22, 2007

Expiration Date

October 31, 2022

Current Date / Time

June 21, 2025
9:44:59 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GLOSMAN, LEONID MOISEIVICH

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: GLOSMAN, LEONID MOISEIVICH

License/Registration Type: Dentist License

License Number: 26405 Primary Status: Current - Active

Address :
7864 Van Nuys Blvd
PANORAMA CITY CA 91402-6069
LOS ANGELES COUNTY

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