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Licensing details for: 81151

Name: R. PAZ CASANOVA, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: R. PAZ CASANOVA A. DENTAL CORPORATION

Address of Record

6416 SANTA FE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

6416 SANTA FE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

February 22, 2022

Expiration Date

September 30, 2024

Current Date / Time

June 5, 2026
5:42:04 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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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