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Licensing details for: 10972

Name: JERRY L LANIER, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: JERRY L LANIER

Address of Record

3015 CRENSHAW STE B
LOS ANGELES CA 90016
LOS ANGELES county
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Practice Location

3015 CRENSHAW STE B
LOS ANGELES CA 90016
LOS ANGELES county
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Issuance Date

April 11, 2013

Expiration Date

May 31, 2019

Current Date / Time

June 7, 2025
10:20:5 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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