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Licensing details for: 8031

Name: LAKEVIEW DENTAL GROUP, ISKANDER DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

709 N LAKE AVENUE
PASADENA CA 91104-4558
LOS ANGELES county
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Practice Location

709 N LAKE AVENUE
PASADENA CA 91104
LOS ANGELES county
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Issuance Date

March 11, 2009

Expiration Date

March 31, 2023

Current Date / Time

June 6, 2025
9:52:40 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ISKANDER, AFAF EZZAT

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: ISKANDER, AFAF EZZAT

License/Registration Type: Dentist License

License Number: 43171 Primary Status: Current - Active

Address :
810 E Alosta Ave
AZUSA CA 91702-2706
LOS ANGELES COUNTY

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