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Licensing details for: 7986

Name: BEVERLY HILLS PEDIATRIC DENTAL GROUP, DAVID S. NIKFARJAM, DDS, IN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: BEVERLY HILLS PEDIATRIC DENTAL GROUP

Address of Record

99 N. LA CIENEGA BOULEVARD #308
BEVERLY HILLS CA 90211
LOS ANGELES county
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Practice Location

99 N. LA CIENEGA BOULEVARD #308
BEVERLY HILLS CA 90211
LOS ANGELES county
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Issuance Date

February 13, 2009

Expiration Date

September 30, 2014

Current Date / Time

June 3, 2026
9:49:21 AM

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: NIKFARJAM, DAVID SOHEIL

License/Registration Type: Dentist License

License Number: 43216 Primary Status: Current - Active

Address :
1464 S ROBERTSON BLVD
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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