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Licensing details for: 17347

Name: MICHAEL VINCENT LAUREOLA DDS INC/ DBA MAGICLAND DENTAL GROUP OF SANTA FE SPRINGS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10639 CARMENITA RD UNIT 7
SANTA FE SPRINGS CA 90670
LOS ANGELES county
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Practice Location

10639 CARMENITA RD UNIT 7
SANTA FE SPRINGS CA 90670
LOS ANGELES county
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Issuance Date

September 30, 2022

Expiration Date

March 31, 2023

Current Date / Time

April 3, 2026
3:38:47 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: LAUREOLA, MICHAEL VINCENT

License/Registration Type: Dentist License

License Number: 55121 Primary Status: Current - Active

Address :
1800 S Pacific Coast Hwy
51
REDONDO BEACH CA 90277-6185
LOS ANGELES COUNTY

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