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Licensing details for: 11264

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

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: JERRY L LANIER DDS, INC.

Address of Record

14510 BALDWIN PARK TOWNE CENTER #G1
BALDWIN PARK CA 91706
LOS ANGELES county
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Practice Location

14510 BALDWIN PARK TOWNE CENTER G1
BALDWIN PARK CA 91706
LOS ANGELES county
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Issuance Date

November 15, 2013

Expiration Date

May 31, 2019

Current Date / Time

June 7, 2025
10:43:33 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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