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Licensing details for: 48536

Name: PEMA, NILESH DHIRU

License Type: Dentist

Primary Status: Current - Active

Address of Record

10751 RIVERSIDE DR
NORTH HOLLYWOOD CA 91602
LOS ANGELES county
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Issuance Date

August 29, 2001

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
8:16:55 AM

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: PEMA PROFESSIONAL DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 9523 Primary Status: Cancelled

Address :
17900 BROOKHURST ST.
STE. A
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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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: PEMA DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 9605 Primary Status: Cancelled

Address :
782 N. BREA BLVD.
BREA CA 92821
ORANGE COUNTY

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