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Licensing details for: 79056

Name: CHENG AND GARCIA DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1502 Montana Ave
STE 205
SANTA MONICA CA 90403-1855
LOS ANGELES county
Map

Practice Location

10700 Santa Monica Blvd
suite 100
LOS ANGELES CA 90025-4768
LOS ANGELES county
Map

1502 Montana Ave
STE 205
SANTA MONICA CA 90403-1855
LOS ANGELES county
Map

Issuance Date

August 4, 2016

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
8:43:18 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: CHENG, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 61674 Primary Status: Current - Active

Address :
1502 Montana Ave
Suite 205
SANTA MONICA CA 90403
LOS ANGELES COUNTY

Map

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: GARCIA-JASNY, ROGELIO MANUEL

License/Registration Type: Dentist License

License Number: 61672 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Ste. 140
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY

Map

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