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Licensing details for: 8130

Name: EDALATPAJOUH DENTAL CORP., SINAI FAMILY DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: EDALATPAJOUH DENTAL CORP

Address of Record

8704 W PICO BOULEVARD
LOS ANGELES CA 90035
LOS ANGELES county
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Practice Location

8704 W PICO BOULEVARD
LOS ANGELES CA 90035
LOS ANGELES county
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Issuance Date

May 19, 2009

Expiration Date

June 30, 2022

Current Date / Time

December 16, 2025
10:53:42 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: EDALATPAJOUH, FARAMARZ

License/Registration Type: Dentist License

License Number: 40811 Primary Status: Current - Active

Address :
1125 S BEVERLY DRIVE #525
LOS ANGELES CA 90035
LOS ANGELES COUNTY

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