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Licensing details for: 16498

Name: MICHEL FAMILY DENTISTRY DENTAL GROUP OF ANA MICHEL, D.D.S. INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3058 E. GAGE AVENUE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Practice Location

3058 E. GAGE AVENUE
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

May 3, 2021

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
1:48:12 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MICHEL, ANA

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: MICHEL, ANA

License/Registration Type: Dentist License

License Number: 36679 Primary Status: Current - Active

Address :
3058 E Gage Ave
HUNTINGTON PARK CA 90255-4432
LOS ANGELES COUNTY

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