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Licensing details for: 9165

Name: STAR DENTAL GROUP, NAVID TABIBZADEH, DDS, A DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: STAR DENTAL GROUP NAVID TABIBZADEH DDS A DENTAL CORP

Address of Record

13060 GLENOAKS BOULEVARD #105-A
SYLMAR CA 91342
LOS ANGELES county
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Practice Location

13060 GLENOAKS BOULEVARD #105-A
SYLMAR CA 91342
LOS ANGELES county
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Issuance Date

January 26, 2011

Expiration Date

June 30, 2016

Current Date / Time

June 7, 2025
9:36:34 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TABIBZADEH, NAVID

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: TABIBZADEH, NAVID

License/Registration Type: Dentist License

License Number: 51140 Primary Status: Current - Active

Address :
18653 VENTURA BLVD #117
TARZANA CA 91356
LOS ANGELES COUNTY

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