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Licensing details for: 56270

Name: MARTINEZ, KAREN E

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: MARINTEZ, KAREN

Address of Record

1741 E Woodgate Dr
WEST COVINA CA 91792-1949
LOS ANGELES county
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Practice Location

204 E Chevy Chase Dr Ste 1
GLENDALE CA 91205-3182
LOS ANGELES county
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Issuance Date

August 29, 2007

Expiration Date

March 31, 2027

Current Date / Time

June 7, 2025
2:56:33 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: FRATT DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 10756 Primary Status: Cancelled

Address :
12027 CENTRAL AVE.
CHINO CA 91710
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NEW SMILE DENTAL STUDIO PRACTICE OF MARTINEZ DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16718 Primary Status: Expired

Address :
204 E CHEVY CHASE DR UNIT 1
GLENDALE CA 91205
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: NEW SMILE DENTAL STUDIO PRACTICE OF MARTINEZ DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16718 Primary Status: Expired

Address :
204 E CHEVY CHASE DR UNIT 1
GLENDALE CA 91205
LOS ANGELES COUNTY

Map

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