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Licensing details for: 9305

Name: CHEN PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: ISSAC CHEN DENTAL PRACTICE

Address of Record

4410 E. WHITTIER BLVD.
LOS ANGELES CA 90022
LOS ANGELES county
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Issuance Date

February 20, 2007

Expiration Date

January 31, 2019

Current Date / Time

June 7, 2025
7:33:16 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: CHEN, ISAAC JIN-WEI

License/Registration Type: Dentist License

License Number: 36069 Primary Status: Current - Active

Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY

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