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Licensing details for: 8551

Name: FLINTRIDGE NEW IMAGE DENTAL GROUP - SAGARIAN, A PROF. DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: FLINTRIDGE NEW IMAGE DENTAL GROUP

Address of Record

1035 FOOTHILL BLVD.
LA CANADA CA 91011
LOS ANGELES county
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Issuance Date

December 28, 2009

Expiration Date

May 31, 2013

Current Date / Time

June 6, 2025
7:13:12 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAGARIAN, MIKE MAIS

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: SAGARIAN, MIKE MAIS

License/Registration Type: Dentist License

License Number: 43655 Primary Status: Current - Active

Address :
505 W. COLUMBUS ST.
BAKERSFIELD CA 93301
KERN COUNTY

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