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Licensing details for: 8646

Name: ALEGRIA DENTAL CENTER, A DENTAL GROUP OF EMAD & KATERINA MOAWAD D

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

4214 W. BEVERLY BLVD.
STE. 208
LOS ANGELES CA 90004
LOS ANGELES county
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Issuance Date

March 10, 2010

Expiration Date

December 31, 2022

Current Date / Time

June 6, 2025
7:22:35 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOAWAD, EMAD FATHY

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: MOAWAD, EMAD FATHY

License/Registration Type: Dentist License

License Number: 48335 Primary Status: Suspension

Address :
4214 W. BEVERLY BLVD #209
LOS ANGELES CA 90004
LOS ANGELES COUNTY

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