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Licensing details for: 10528

Name: KAW DENTAL INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

83 GOLDSTONE RD
STE A
FORT IRWIN CA 92310
SAN BERNARDINO county
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Issuance Date

July 15, 2011

Expiration Date

January 31, 2020

Current Date / Time

December 13, 2025
9:46:44 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: KAW, PHILLIP ZAW-HTUN

License/Registration Type: Dentist License

License Number: 40627 Primary Status: Current - Active

Address :
635 E Garvey Ave
MONTEREY PARK CA 91755-1910
LOS ANGELES COUNTY

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