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Licensing details for: 10454

Name: ST. JOHN DENTAL, DENTAL OFFICE OF ATEF HANA DENTAL, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: ST. JOHN DENTAL INC. DENTAL OFFICE OF DR. ATEF HANA

Address of Record

910 EAST GLASTONE STREET
AZUSA CA 91702
LOS ANGELES county
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Practice Location

20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES county
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910 EAST GLASTONE STREET
AZUSA CA 91702
LOS ANGELES county
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Issuance Date

May 6, 2013

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
10:40:47 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HANA, ATEF EDWARD

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: HANA, ATEF EDWARD

License/Registration Type: Dentist License

License Number: 54147 Primary Status: Current - Active

Address :
20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES COUNTY

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