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Licensing details for: 81095

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

1814 N DINUBA BLVD
VISALIA CA 93291
TULARE county
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Practice Location

1150 W. HENDERSON AVE
PORTERVILLE CA 93257
TULARE county
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1814 N Dinuba Blvd
VISALIA CA 93291
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Issuance Date

December 6, 2021

Expiration Date

May 31, 2025

Current Date / Time

June 7, 2025
10:14:43 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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