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Licensing details for: 8173

Name: WEST LA DENTAL, AFSHIN GOLYAD, DDS, INC, DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: WEST LA DENTAL

Address of Record

12340 SANTA MONICA BOULEVARD #241
LOS ANGELES CA 90025
LOS ANGELES county
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Practice Location

12340 SANTA MONICA BOULEVARD #241
LOS ANGELES CA 90025
LOS ANGELES county
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Issuance Date

June 3, 2009

Expiration Date

November 30, 2022

Current Date / Time

April 3, 2026
3:52:35 PM

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: GOLYAD, AFSHIN

License/Registration Type: Dentist License

License Number: 43162 Primary Status: Current - Active

Address :
12340 SANTA MONICA BLVD #241
LOS ANGELES CA 90025
LOS ANGELES COUNTY

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