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Licensing details for: 16696

Name: LA MIRADA FAMILY DENTAL DENTAL OFFICE OF GILBERT KHIN LAY DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

13922 IMPERIAL HWY
LA MIRADA CA 90638-1725
LOS ANGELES county
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Practice Location

13922 IMPERIAL HWY
LA MIRADA CA 90638
LOS ANGELES county
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Issuance Date

August 6, 2021

Expiration Date

November 30, 2026

Current Date / Time

December 13, 2025
9:42:22 AM

License Relationships

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: LAY, GILBERT KHIN

License/Registration Type: Dentist License

License Number: 40648 Primary Status: Current - Active

Address :
13922 imperial hwy
LA MIRADA CA 90638
LOS ANGELES COUNTY

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