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Licensing details for: 11444

Name: PANDYA PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: PATEL-PANDYA PROF DENTAL CORP. PANDYA PROF DENTAL CORP.

Address of Record

7208 PACIFIC AVE #200
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

7208 PACIFIC AVE #200
HUNTINGTON PARK CA 902555
LOS ANGELES county
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Issuance Date

June 2, 2014

Expiration Date

September 30, 2017

Current Date / Time

November 3, 2025
2:37:42 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: PANDYA, SUNEN G

License/Registration Type: Dentist License

License Number: 50805 Primary Status: Current - Active

Address :
8014 Lower Sacramento Rd Ste B
STOCKTON CA 95210-3747
SAN JOAQUIN COUNTY

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