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Licensing details for: 41867

Name: SHAW, JEREMIAH JER-HJEN

License Type: Dentist

Primary Status: Current - Active

Address of Record

4141 S Nogales St
Unit B103
WEST COVINA CA 91792-3056
LOS ANGELES county
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Issuance Date

August 4, 1994

Expiration Date

April 30, 2027

Current Date / Time

December 13, 2025
5:3:32 PM

License Relationships

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: EAST-WEST DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 1091 Primary Status: Cancelled

Address :
DENTAL OFFICE OF PHILLIP Z H KAW
7551 GARVEY AVENUE
ROSEMEAD CA 91770
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: ROWLAND HEIGHTS DENTAL CENTER DENTAL CORPORATION OF DR. JEAN WANG

License/Registration Type: Fictitious Name Permit

License Number: 19758 Primary Status: Current - Active

Address :
4141 S Nogales St UNIT B 103
WEST COVINA CA 91792-3056
LOS ANGELES COUNTY

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