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Licensing details for: 80363

Name: MICHAEL VINCENT LAUREOLA, DDS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9745 LAURAL CANYON BLVD SUITE A
PACOIMA CA 91331
LOS ANGELES county
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Practice Location

9745 LAURAL CANYON BLVD SUITE A
PACOIMA CA 91331
LOS ANGELES county
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Issuance Date

November 13, 2019

Expiration Date

March 31, 2027

Current Date / Time

April 3, 2026
3:44:58 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: LAUREOLA, MICHAEL VINCENT

License/Registration Type: Dentist License

License Number: 55121 Primary Status: Current - Active

Address :
1800 S Pacific Coast Hwy
51
REDONDO BEACH CA 90277-6185
LOS ANGELES COUNTY

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