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Licensing details for: 8658

Name: JERRY L. LANIER, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

14101 PARAMOUNT
PARAMOUNT CA 90723
LOS ANGELES county
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Issuance Date

September 22, 2005

Expiration Date

May 31, 2019

Current Date / Time

June 7, 2025
10:37:23 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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