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Licensing details for: 11408

Name: L.A. DENTAL TOWN, DENTAL GROUP OF WU DENTAL INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: L.A. DENTAL TOWN L.A. DENTAL TOWN, DENTAL GROUP OF QU DENTAL INC.

Address of Record

5262 E BEVERLY BLVD
LOS ANGELES CA 90022
LOS ANGELES county
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Practice Location

5262 E BEVERLY BLVD
LOS ANGELES CA 90022
LOS ANGELES county
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Issuance Date

July 11, 2014

Expiration Date

October 31, 2022

Current Date / Time

June 6, 2025
1:38:4 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WU, MARGARET CHAI

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: WU, MARGARET CHAI

License/Registration Type: Dentist License

License Number: 56043 Primary Status: Current - Active

Address :
5262 East Beverly Blvd
LOS ANGELES CA 90022
LOS ANGELES COUNTY

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