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Licensing details for: 9790

Name: BEACH DENTAL GROUP AND ORTHODONTICS, ALEX R. SHARIFIAN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

19720 Beach Blvd
HUNTINGTON BEACH CA 92648-2987
ORANGE county
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Practice Location

17920 BEACH BOULEVARD, STE. B
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

February 14, 2012

Expiration Date

November 30, 2018

Current Date / Time

June 6, 2025
10:16:47 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHARIFIAN, ALEX R.

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: SHARIFIAN, ALEX R.

License/Registration Type: Dentist License

License Number: 44540 Primary Status: Current - Active

Address :
13721 Newport Ave
Suite 1
TUSTIN CA 92780-4690
ORANGE COUNTY

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