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Licensing details for: 13592

Name: HUNTINGTON PAVILION DENTAL PRACTICE BY WARREN HSIAU

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

625 S FAIR OAKS AVE STE 230
PASADENA CA 91105-2663
LOS ANGELES county
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Practice Location

625 S FAIR OAKS AVE STE 230
PASADENA CA 91105
LOS ANGELES county
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Issuance Date

June 19, 2017

Expiration Date

December 31, 2020

Current Date / Time

June 6, 2025
10:14:33 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HSIAU, WARREN MUHCHIN

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: HSIAU, WARREN MUHCHIN

License/Registration Type: Dentist License

License Number: 45467 Primary Status: Expired

Address :
4134 N ROSEMEAD BLVD
ROSEMEAD CA 91770
LOS ANGELES COUNTY

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