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Licensing details for: 9997

Name: GALLATIN DENTAL GROUP BEKEREDJIAN AND AIVAZIAN DENTAL CORP., A PR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: GALLATIN DENTAL GROUP, KOUYOUMDJIAN, BEKEREDJIAN, AND AIVAZIAN DENTAL CORP. GALLATIN DENTAL GROUP

Address of Record

10805 PARAMOUNT BOULEVARD
STE. B
DOWNEY CA 90241
LOS ANGELES county
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Practice Location

10805 PARAMOUNT BOULEVARD
DOWNEY CA 90241
LOS ANGELES county
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Issuance Date

June 28, 2012

Expiration Date

January 31, 2017

Current Date / Time

June 6, 2025
2:4:4 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AIVAZIAN, STEVE ARTHUR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KOUYOUMDJIAN, LEVON GARBIS

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BEKEREDJIAN, HOVANES

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: BEKEREDJIAN, HOVANES

License/Registration Type: Dentist License

License Number: 38036 Primary Status: Expired

Address :
10805 Paramount Blvd
STE B
DOWNEY CA 90241-3308
LOS ANGELES COUNTY

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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: KOUYOUMDJIAN, LEVON GARBIS

License/Registration Type: Dentist License

License Number: 47500 Primary Status: Expired

Address :
6703 Green Gable Mnr
SPRING TX 77389-3069
HARRIS COUNTY

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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: AIVAZIAN, STEVE ARTHUR

License/Registration Type: Dentist License

License Number: 41887 Primary Status: Current - Active

Address :
10805 PARAMOUNT BLVD, SUITE B
DOWNEY CA 90241
LOS ANGELES COUNTY

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