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Licensing details for: 13617

Name: HOWARD GLASSMAN DDS, PHILLIPS RANCH DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

750 N DIAMOND BAR BLVD STE 206
DIAMOND BAR CA 91765-1023
LOS ANGELES county
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Practice Location

750 N DIAMOND BAR BLVD STE 206
DIAMOND BAR CA 91765
LOS ANGELES county
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Issuance Date

July 6, 2017

Expiration Date

February 29, 2020

Current Date / Time

June 6, 2025
9:34:22 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GLASSMAN, HOWARD GENE

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: GLASSMAN, HOWARD GENE

License/Registration Type: Dentist License

License Number: 24452 Primary Status: Expired

Address :
750 N Diamond Bar Blvd
Suite 206
DIAMOND BAR CA 91765-1023
LOS ANGELES COUNTY

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