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Licensing details for: 1514

Name: CANOGA FAMILY DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

DR SONIA A CASTELLON
20173 SATICOY STREET
CANOGA PARK CA 91306
LOS ANGELES county
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Issuance Date

December 20, 1996

Expiration Date

July 31, 2003

Current Date / Time

June 7, 2025
9:24:36 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CASTELLON, SONIA ARGENTINA

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: CASTELLON, SONIA ARGENTINA

License/Registration Type: Dentist License

License Number: 40210 Primary Status: Current - Active

Address :
15336 DEVONSHIRE STREET
#5
MISSION HILLS CA 91345

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