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Licensing details for: 44488

Name: JACOB, LEENA MARY

License Type: Dentist

Primary Status: Current - Active

Address of Record

10736 Jefferson Blvd # 809
CULVER CITY CA 90230-4933
LOS ANGELES county
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Practice Location

1357 E Florence Ave
LOS ANGELES CA 90001-1934
LOS ANGELES county
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Issuance Date

August 4, 1997

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
8:27:36 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: LEENA JACOB, DDS, A PROFESSIONAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 9152 Primary Status: Cancelled

Address :
10900 LONG BEACH BLVD.
LYNWOOD CA 90262
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDS DENTAL KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.

License/Registration Type: Fictitious Name Permit

License Number: 6400 Primary Status: Cancelled

Address :
14101 PARAMOUNT BLVD.
PARAMOUNT CA 90723
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDS DENTAL KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.

License/Registration Type: Fictitious Name Permit

License Number: 6410 Primary Status: Cancelled

Address :
10900 LONG BEACH BLVD.
LYNWOOD CA 90262
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: KIDS DENTAL KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.

License/Registration Type: Fictitious Name Permit

License Number: 6410 Primary Status: Cancelled

Address :
10900 LONG BEACH BLVD.
LYNWOOD CA 90262
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: KIDS DENTAL KARE, DENTAL GROUP, LEENA JACOB, DDS, A PROF. CORP.

License/Registration Type: Fictitious Name Permit

License Number: 6400 Primary Status: Cancelled

Address :
14101 PARAMOUNT BLVD.
PARAMOUNT CA 90723
LOS ANGELES COUNTY

Map

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