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Licensing details for: 8558

Name: COSMETIC LASER DENTISTRY, DENTAL OFFICE OF MAHER AL-BOUZ, DDS, IN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: COSMETIC LASER DENTISTRY

Address of Record

22062 VENTURA BLVD.
WOODLAND HILLS CA 91364
LOS ANGELES county
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Issuance Date

December 28, 2009

Expiration Date

February 28, 2023

Current Date / Time

June 21, 2025
9:31:13 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AL BOUZ, MAHER

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: AL BOUZ, MAHER

License/Registration Type: Dentist License

License Number: 46013 Primary Status: Current - Active

Address :
639 E. FOOTHILL BLVD.
A
SAN DIMAS CA 91773
LOS ANGELES COUNTY

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