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Licensing details for: 243

Name: ESMAILIAN LARI, SOMA

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES county
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Practice Location

6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES county
Map

Issuance Date

August 29, 2023

Expiration Date

July 31, 2025

Current Date / Time

June 6, 2025
2:11:1 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FOOTHILL DENTAL SPECIALTY DENTAL GROUP OF DR. ESMAILIAN LARI

License/Registration Type: Fictitious Name Permit

License Number: 18577 Primary Status: Current - Active

Address :
6803 FOOTHILL BLVD
TUJUNGA CA 91042
LOS ANGELES COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: ESMAILIAN LARI, SOMA

License/Registration Type: Dentist License

License Number: 64640 Primary Status: Current - Active

Address :
6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES COUNTY

Map

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