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Licensing details for: 104538

Name: MATSUNO, ERIC MASAYUKI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2540 Green House Pl
SIGNAL HILL CA 90755
LOS ANGELES county
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Issuance Date

November 14, 2019

Expiration Date

October 31, 2027

Current Date / Time

December 13, 2025
5:20:7 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: ERIC MATSUNO, DDS

License/Registration Type: Additional Office Permit

License Number: 81936 Primary Status: Current - Active

Address :
6341 EAST SPRING STREET
LONG BEACH CA 90808
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: LOS ALTOS MODERN DENTISTRY DENTAL GROUP, MATSUNO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18912 Primary Status: Current - Active

Address :
6341 E. SPRING STREET
LONG BEACH CA 90808
LOS ANGELES COUNTY

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