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Licensing details for: 15260

Name: GEORGE D. LIM, DMD, INC. -ECHO PARK DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1569 W. SUNSET BOULEVARD
LOS ANGELES CA 90026
LOS ANGELES county
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Practice Location

1569 W. SUNSET BOULEVARD
LOS ANGELES CA 90026
LOS ANGELES county
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Issuance Date

August 20, 2019

Expiration Date

January 31, 2023

Current Date / Time

June 7, 2025
1:8:3 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NWACHOKOR, SHANNA LIM

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LIM, GEORGE DIG

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: NWACHOKOR, SHANNA LIM

License/Registration Type: Dentist License

License Number: 100974 Primary Status: Current - Active

Address :
11725 W Washington Blvd
LOS ANGELES CA 90066-5917
LOS ANGELES COUNTY

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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: LIM, GEORGE DIG

License/Registration Type: Dentist License

License Number: 43190 Primary Status: Current - Active

Address :
1551 N Vermont Ave
LOS ANGELES CA 90027-5360

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