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Licensing details for: 15832

Name: SAN MARINO PEDIATRIC DENTISTRY, DENTAL GROUP OF JESSICA CHOI, DMD, DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2318 HUNTINGTON DR
SAN MARINO CA 91108
LOS ANGELES county
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Practice Location

2318 HUNTINGTON DR
SAN MARINO CA 91108
LOS ANGELES county
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Issuance Date

June 4, 2020

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
2:0:17 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHOI, JESSICA W

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: CHOI, JESSICA W

License/Registration Type: Dentist License

License Number: 60144 Primary Status: Current - Active

Address :
2318 Huntington Dr
SAN MARINO CA 91108-2641
LOS ANGELES COUNTY

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