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Licensing details for: 104693

Name: NWACHOKOR, TRAVIS E

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

155 E Lomita Blvd
CARSON CA 90745-6305
LOS ANGELES county
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Practice Location

155 E Lomita Blvd
CARSON CA 90745-6305
LOS ANGELES county
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Issuance Date

December 30, 2019

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
11:45:59 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HAPPY TEETH DENTAL COMPANY DENTAL PRACTICE OF DR. TRAVIS NWACHOKOR AND DR. SHANNA LIM

License/Registration Type: Fictitious Name Permit

License Number: 18566 Primary Status: Current - Active

Address :
155 E LOMITA BLVD
CARSON CA 90745-6305
LOS ANGELES COUNTY

Map

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: HAPPY TEETH DENTAL COMPANY DENTAL PRACTICE OF DR. TRAVIS NWACHOKOR AND DR. SHANNA LIM

License/Registration Type: Fictitious Name Permit

License Number: 18566 Primary Status: Current - Active

Address :
155 E LOMITA BLVD
CARSON CA 90745-6305
LOS ANGELES COUNTY

Map

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