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Licensing details for: 81091

Name: KOHAN AND TSAI PROFESSIONAL DENTAL CORPORATION OF FONTANA

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9190 SIERRA AVE #101
FONTANA CA 92335
SAN BERNARDINO county
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Practice Location

9190 SIERRA AVE #101
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

November 19, 2021

Expiration Date

May 31, 2027

Current Date / Time

December 13, 2025
2:3:6 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: KOHAN, JOSHUA

License/Registration Type: Dentist License

License Number: 105573 Primary Status: Current - Active

Address :
1116 S Wooster St
Unit 2
LOS ANGELES CA 90035-1413
LOS ANGELES COUNTY

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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: TSAI, COLLIN G

License/Registration Type: Dentist License

License Number: 58983 Primary Status: Current - Active

Address :
8247 Whittier Blvd.
8247 Whittier Blvd.
PICO RIVERA CA 90660-2527
LOS ANGELES COUNTY

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