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Licensing details for: 10254

Name: DR SONG 8TH AND ALVARADO FAMILY DENTAL GROUP, DAE H. SONG, DDS, I

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

824 S. ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES county
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Practice Location

824 S. ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES county
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Issuance Date

December 21, 2012

Expiration Date

April 30, 2026

Current Date / Time

June 6, 2025
1:35:4 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SONG, DAE HYUNG

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SONG, DAE HYUNG

License/Registration Type: Dentist License

License Number: 25630 Primary Status: Current - Active

Address :
3129 N San Fernando Rd
LOS ANGELES CA 90065-1412
LOS ANGELES COUNTY

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