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Licensing details for: 12050

Name: JOSEPH HANNA DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

43531 10TH STREET W
LANCASTER CA 93534
LOS ANGELES county
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Practice Location

43531 10TH STREET W
LANCASTER CA 93534
LOS ANGELES county
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Issuance Date

October 28, 2015

Expiration Date

May 31, 2023

Current Date / Time

June 6, 2025
3:32:11 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: WATANABE, BRYAN KAZUMI

License/Registration Type: Dentist License

License Number: 40130 Primary Status: Current - Active

Address :
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE COUNTY

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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: HANNA, JOSEPH

License/Registration Type: Dentist License

License Number: 62486 Primary Status: Current - Active

Address :
10316 mason ave
CHATSWORTH CA 91311
LOS ANGELES COUNTY

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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: JEFFERSON, WALTER

License/Registration Type: Dentist License

License Number: 53460 Primary Status: Current - Active

Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY

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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: LAMBRIDIS, DEAN

License/Registration Type: Dentist License

License Number: 51199 Primary Status: Current - Active

Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA COUNTY

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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: EASLEY, YASMIN ADHIAMBO

License/Registration Type: Dentist License

License Number: 39743 Primary Status: Current - Active

Address :
16849 Royal Pines Ln
CANYON COUNTRY CA 91387-8165
LOS ANGELES COUNTY

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