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Licensing details for: 10193

Name: JERRY L. LANIER, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LANIER BURBANK DENTAL GROUP INC.

Address of Record

1400 W. OLIVE AVE.
STE. 201
BURBANK CA 91506
LOS ANGELES county
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Issuance Date

May 12, 2010

Expiration Date

May 31, 2019

Current Date / Time

June 7, 2025
10:11:55 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LANIER, JERRY LEE

License/Registration Type: Dentist License

License Number: 40088 Primary Status: Current - Active

Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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