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Licensing details for: 80003

Name: ANTHONY S. PAN, D.M.D., INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3346 NORTH EASTERN AVE
LOS ANGELES CA 90032
LOS ANGELES county
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Practice Location

3346 NORTH EASTERN AVE
LOS ANGELES CA 90032
LOS ANGELES county
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Issuance Date

March 1, 2019

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
10:15:18 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: PAN, ANTHONY SUNG-EN

License/Registration Type: Dentist License

License Number: 59548 Primary Status: Current - Active

Address :
9328 GARVEY AVENUE
SUITE A
SOUTH EL MONTE CA 91733
LOS ANGELES COUNTY

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