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Licensing details for: 13716

Name: SUNSHINE DENTAL GROUP, J.C. DELAOSA AND R.P. CASANOVA D.D.S. DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2319 S ATLANTIC BLVD
LOS ANGELES CA 90040
LOS ANGELES county
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Practice Location

2319 S ATLANTIC BLVD
LOS ANGELES CA 90040
LOS ANGELES county
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Issuance Date

August 28, 2017

Expiration Date

March 31, 2022

Current Date / Time

June 5, 2026
6:52:06 PM

License Relationships

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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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