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Licensing details for: 17096

Name: TYLER DENTAL CARE DENTAL OFFICE OF DRS., LALA, TSOI, AND TAMAYO

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Partnership

Previous Names: TYLER DENTAL CARE TYLER DENTAL CARE DRS., LALA, TSOI, AND TAMAYO

Address of Record

1928 TYLER AVE, #D168
SOUTH EL MONTE CA 91733
LOS ANGELES county
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Practice Location

1928 TYLER AVE, #D168
SOUTH EL MONTE CA 91733
LOS ANGELES county
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Issuance Date

April 12, 2022

Expiration Date

August 31, 2023

Current Date / Time

December 13, 2025
7:52:58 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: TSOI, KELVIN CHUNG-YEE

License/Registration Type: Dentist License

License Number: 48776 Primary Status: Current - Active

Address :
8951 GLENDON WAY
ROSEMEAD CA 91770
LOS ANGELES COUNTY

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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: TAMAYO, ENRIQUE

License/Registration Type: Dentist License

License Number: 52474 Primary Status: Current - Active

Address :
4400 S. BROADWAY
STE. 103
LOS ANGELES CA 90037
LOS ANGELES COUNTY

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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: LALA, SANJAY

License/Registration Type: Dentist License

License Number: 40645 Primary Status: Current - Active

Address :
5000 VAN NUYS BLVD
#320
SHERMAN OAKS CA 91403-1793
LOS ANGELES COUNTY

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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: LASCOE, NEAL ANDREW

License/Registration Type: Dentist License

License Number: 28349 Primary Status: Current - Active

Address :
24965 Kit Carson Rd
HIDDEN HILLS CA 91302-1136
LOS ANGELES COUNTY

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