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Licensing details for: 6909

Name: SANTA ANITA DENTAL GROUP, COMPEAN AND OKTANYAN DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SANTA ANITA DENTAL GROUP

Address of Record

721 W. HUNTINGTON DRIVE
STE. B
ARCADIA CA 91007
LOS ANGELES county
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Issuance Date

June 5, 2007

Expiration Date

May 31, 2015

Current Date / Time

June 7, 2025
7:54:55 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COMPEAN, CARLOS GUILLERMO

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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES COUNTY

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