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Licensing details for: 16758

Name: CALIFORNIA DENTAL HEALTHCARE SAPINOSO DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: CALIFORNIA DENTAL HEALTHCARE SAPINOSO

Address of Record

3209 S. VERONICA AVE
WEST COVINA CA 91792
LOS ANGELES county
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Practice Location

3209 S. VERONICA AVE
WEST COVINA CA 91792
LOS ANGELES county
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Issuance Date

September 14, 2021

Expiration Date

December 31, 2021

Current Date / Time

December 13, 2025
4:46:57 PM

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: SAPINOSO, MARIECHRIS ANCHETA

License/Registration Type: Dentist License

License Number: 101760 Primary Status: Current - Active

Address :
3209 S Veronica Ave
WEST COVINA CA 91792-2345
LOS ANGELES COUNTY

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