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Licensing details for: 7789

Name: M G REYES PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

525 S AZUSA WAY
LA PUENTE CA 91744
LOS ANGELES county
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Issuance Date

October 7, 2002

Expiration Date

December 31, 2008

Current Date / Time

June 6, 2025
8:33:50 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: REYES, MARTIN GABRIEL

License/Registration Type: Dentist License

License Number: 46945 Primary Status: Current - Active

Address :
3534 W Beverly Blvd
MONTEBELLO CA 90640-1541
LOS ANGELES COUNTY

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