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Licensing details for: 12306

Name: SUPERSMILE DENTAL, DENTAL GROUP OF DR. MIN LWIN

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: SUPERSMILE DENTAL OFFICE, DR. LWIN AND DR. HTWE

Address of Record

1739 SAN GABRIEL BLVD
SAN GABRIEL CA 91776
LOS ANGELES county
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Practice Location

1739 SAN GABRIEL BLVD
SAN GABRIEL CA 91776
LOS ANGELES county
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Issuance Date

July 21, 2015

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
4:31:8 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LWIN, MIN

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: LWIN, MIN

License/Registration Type: Dentist License

License Number: 39985 Primary Status: Current - Active

Address :
1739 SAN GABRIEL BLVD
SAN GABRIEL CA 91776
LOS ANGELES COUNTY

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