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Licensing details for: 63347

Name: HE, KENNY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Secondary Status: Licensure by Residency

Address of Record

2216 Mar Vista Ave
ALTADENA CA 91001-2539
LOS ANGELES county
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Practice Location

290 N. HILL AVENUE UNIT 1
PASADENA CA 91106
LOS ANGELES county
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Issuance Date

April 4, 2014

Expiration Date

October 31, 2026

Current Date / Time

December 13, 2025
4:46:2 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: 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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