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Licensing details for: 81074

Name: JERRY L. LANIER, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

452 E SHAW AVE
FRESNO CA 93710
FRESNO county
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Practice Location

452 E SHAW AVE
FRESNO CA 93710
FRESNO county
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Issuance Date

November 2, 2021

Expiration Date

May 31, 2025

Current Date / Time

June 7, 2025
10:36:16 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: LANIER, JERRY LEE

License/Registration Type: Dentist License

License Number: 40088 Primary Status: Current - Active

Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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