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Licensing details for: 46962

Name: SHAW, HARRY

License Type: Dentist

Primary Status: Current - Active

Address of Record

9961 Valley Blvd Ste E
EL MONTE CA 91731-1053
LOS ANGELES county
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Practice Location

9961 East Valley Blvd.
Ste E
EL MONTE CA 91731
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Issuance Date

November 10, 1999

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
5:43:37 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHAW DENTAL OFFICE, HARRY SHAW, DDS

License/Registration Type: Fictitious Name Permit

License Number: 3484 Primary Status: Current - Active

Address :
9961 EAST VALLEY BLVD, STE E
EL MONTE CA 91731
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: SHAW DENTAL OFFICE, HARRY SHAW, DDS

License/Registration Type: Fictitious Name Permit

License Number: 3484 Primary Status: Current - Active

Address :
9961 EAST VALLEY BLVD, STE E
EL MONTE CA 91731
LOS ANGELES COUNTY

Map

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