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Licensing details for: 79165

Name: GILBERT KHIN LAY, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

12319 Imperial Hwy
NORWALK CA 90650-8303
LOS ANGELES county
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Practice Location

12319 Imperial Hwy
NORWALK CA 90650-8303
LOS ANGELES county
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Issuance Date

December 5, 2016

Expiration Date

November 30, 2022

Current Date / Time

December 13, 2025
7:54:32 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: LAY, GILBERT KHIN

License/Registration Type: Dentist License

License Number: 40648 Primary Status: Current - Active

Address :
13922 imperial hwy
LA MIRADA CA 90638
LOS ANGELES COUNTY

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