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Licensing details for: 13143

Name: ESTHETIC PARTNER DENTAL GROUP OFFICE OF DR. COLLIN TSAI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

415 W. BEVERLY BLVD, SUITE B
MONTEBELLO CA 90640
LOS ANGELES county
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Practice Location

415 W. BEVERLY BLVD, SUITE B
MONTEBELLO CA 90640
LOS ANGELES county
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Issuance Date

November 9, 2016

Expiration Date

May 31, 2017

Current Date / Time

June 6, 2025
2:4:10 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TSAI, COLLIN G

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: TSAI, COLLIN G

License/Registration Type: Dentist License

License Number: 58983 Primary Status: Current - Active

Address :
8247 Whittier Blvd.
8247 Whittier Blvd.
PICO RIVERA CA 90660-2527
LOS ANGELES COUNTY

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