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Licensing details for: 1224

Name: LAS TUNAS FAMILY DENTAL GROUP, ISAAC CHEN, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1107 E LAS TUNAS DRIVE
SAN GABRIEL CA 91776
LOS ANGELES county
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Issuance Date

October 20, 1995

Expiration Date

October 31, 2019

Current Date / Time

June 6, 2025
9:51:58 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHEN, ISAAC JIN-WEI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAO, GEORGE JI-JUN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LIN, CHRIS CHIHCHUN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAO, GEORGE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LIN, CHIH-CHUN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHEN, ISAAC

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: TAO, GEORGE JI-JUN

License/Registration Type: Dentist License

License Number: 42703 Primary Status: Current - Active

Address :
9588 Base Line Rd
Suite 100
ALTA LOMA CA 91701-6439
SAN BERNARDINO COUNTY

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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: CHEN, ISAAC JIN-WEI

License/Registration Type: Dentist License

License Number: 36069 Primary Status: Current - Active

Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY

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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: LIN, CHRIS CHIHCHUN

License/Registration Type: Dentist License

License Number: 40847 Primary Status: Current - Inactive

Address :
9288 Positano Ln
GERMANTOWN TN 38138-7393
SHELBY COUNTY

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