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Licensing details for: 15782

Name: ALPHA DENTAL, DENTAL OFFICE OF YOUNG HO CHA DDS CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

151 N. AZUSA AVE
WEST COVINA CA 91791
LOS ANGELES county
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Practice Location

151 N. AZUSA AVE
WEST COVINA CA 91791
LOS ANGELES county
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Issuance Date

April 23, 2020

Expiration Date

October 31, 2020

Current Date / Time

June 6, 2025
10:8:47 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHA, YOUNG HO

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: CHA, YOUNG HO

License/Registration Type: Dentist License

License Number: 49287 Primary Status: Current - Active

Address :
151 N. Azusa Ave
WEST COVINA CA 91791
LOS ANGELES COUNTY

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