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Licensing details for: 12232

Name: SMILING SEA PEDIATRIC DENTISTRY, DENTAL PRACTICE OF MICHELLE TO,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MICHELLE TO, D.D.S., INC., DBA, SMILING SEA PEDIATRIC DENTISTRY

Address of Record

13320 RIVERSIDE DRIVE, #202
SHERMAN OAKS CA 91423
LOS ANGELES county
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Issuance Date

June 19, 2015

Expiration Date

December 31, 2020

Current Date / Time

June 7, 2025
5:16:53 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TO, MICHELLE P

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: TO, MICHELLE P

License/Registration Type: Dentist License

License Number: 46337 Primary Status: Current - Active

Address :
12128 Vanowen St
NORTH HOLLYWOOD CA 91605-5651
LOS ANGELES COUNTY

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