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Licensing details for: 10630

Name: UNIVERSAL DENTAL GROUP, KAREN TRAN, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1434 S. SAN GABRIEL BOULEVARD
SAN GABRIEL CA 91776
LOS ANGELES county
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Practice Location

1434 S. SAN GABRIEL BOULEVARD
SAN GABRIEL CA 91776
LOS ANGELES county
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Issuance Date

August 8, 2013

Expiration Date

March 31, 2015

Current Date / Time

June 6, 2025
2:0:4 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TRAN, KAREN CAM

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: TRAN, KAREN CAM

License/Registration Type: Dentist License

License Number: 51146 Primary Status: Current - Active

Address :
841 w 19 st
# c
COSTA MESA CA 92627
ORANGE COUNTY

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