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Licensing details for: 79338

Name: RAMIREZ PEDIATRIC DENTAL CORP

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

1075 VIA VERDE
SAN DIMAS CA 91773
LOS ANGELES county
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Practice Location

1075 VIA VERDE
SAN DIMAS CA 91773
LOS ANGELES county
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Issuance Date

June 5, 2017

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
3:41:39 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: RAMIREZ, CORINA

License/Registration Type: Dentist License

License Number: 52676 Primary Status: Current - Active

Address :
1075 VIA VERDE
SAN DIMAS CA 91773-4347
LOS ANGELES COUNTY

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