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Licensing details for: 8619

Name: KING DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

7220 OWENSMOUTH AVE
CANOGA PARK CA 91303
LOS ANGELES county
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Issuance Date

August 12, 2005

Expiration Date

January 31, 2017

Current Date / Time

April 4, 2026
2:36:50 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: KING, GILBERT PETER-LAI

License/Registration Type: Dentist License

License Number: 36463 Primary Status: Current - Active

Address :
19139 Stare St
NORTHRIDGE CA 91324-1266
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: KING, FIDELIS SANTILLAN

License/Registration Type: Dentist License

License Number: 36423 Primary Status: Current - Active

Address :
646 N LARCHMONT BLVD
LOS ANGELES CA 90004
LOS ANGELES COUNTY

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