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Licensing details for: 11020

Name: DENTAL CORPORATION OF R. PAZ, DDS., INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

14323 E. RAMONA BLVD.
BALDWIN PARK CA 91706
LOS ANGELES county
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Practice Location

14323 E. RAMONA BLVD.
BALDWIN PARK CA 91706
LOS ANGELES county
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Issuance Date

May 6, 2013

Expiration Date

September 30, 2018

Current Date / Time

June 5, 2026
5:41:52 PM

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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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