| Licensee Name: | TOOTH FAIRY DENTAL HYGIENE PRACTICE OF JALEH JASMIN GANDJEH |
| License Type: | FICTITIOUS NAME PERMIT |
| License Number: | 69 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | July 31, 2016 |
| Issue Date: | September 30, 2011 |
| County: | LOS ANGELES |
| Actions: | No |