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Licensing details for: 60045

Name: CHEN, DEBBIE PEI

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Address of Record

23111 Ventura Blvd Ste 102
WOODLAND HILLS CA 91364-1127
LOS ANGELES county
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Issuance Date

November 23, 2010

Expiration Date

September 30, 2026

Current Date / Time

June 22, 2025
1:43:35 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SWEET LIFE DENTAL DENTAL PRACTICE OF DR. DEBBIE CHEN

License/Registration Type: Fictitious Name Permit

License Number: 16619 Primary Status: Current - Active

Address :
23111 VENTURA BLVD STE 102
WOODLAND HILLS CA 91364
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: SWEET LIFE DENTAL DENTAL PRACTICE OF DR. DEBBIE CHEN

License/Registration Type: Fictitious Name Permit

License Number: 16619 Primary Status: Current - Active

Address :
23111 VENTURA BLVD STE 102
WOODLAND HILLS CA 91364
LOS ANGELES COUNTY

Map

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: KINNE, ERIN DOREENA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1076 Primary Status: Current - Active

Address Not Disclosed

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