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Licensing details for: 9273

Name: DENTAL IMPLANT & LASER SURGICAL SPECIALISTS, DENTAL OFFICE RAMYAR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12721 NEWPORT AVENUE
STE. 3
TUSTIN CA 92780
ORANGE county
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Practice Location

12721 NEWPORT AVENUE
STE. 3
TUSTIN CA 92780
ORANGE county
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Issuance Date

April 7, 2011

Expiration Date

July 31, 2022

Current Date / Time

June 6, 2025
1:57:14 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELYASSIAN, RAMYAR

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: ELYASSIAN, RAMYAR

License/Registration Type: Dentist License

License Number: 49877 Primary Status: Current - Active

Address :
2010 E 1st St
230
SANTA ANA CA 92705-4079
ORANGE COUNTY

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