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Licensing details for: 9007

Name: DOWNEY ORTHODONTIC CENTER, GHOLDOIAN DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

10501 LAKEWOOD BOULEVARD
STE. B
DOWNEY CA 90241
LOS ANGELES county
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Practice Location

10501 LAKEWOOD BOULEVARD
STE. B
DOWNEY CA 90241
LOS ANGELES county
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Issuance Date

October 11, 2010

Expiration Date

July 31, 2014

Current Date / Time

December 13, 2025
7:52:59 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: GHOLDOIAN, GEORGE S

License/Registration Type: Dentist License

License Number: 17684 Primary Status: Cancelled

Address :
19501 SUMMER BREEZE LANE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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