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Licensing details for: 18040

Name: CAMERON FAMILY DENTAL DENTAL OFFICE OF DANIEL H. CHEN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1710 W. CAMERON AVE., SUITE 100
WEST COVINA CA 91790
LOS ANGELES county
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Practice Location

1710 W. CAMERON AVE., SUITE 100
WEST COVINA CA 91790
LOS ANGELES county
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Issuance Date

August 28, 2023

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
2:16:50 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHEN, DANIEL HWA

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: CHEN, DANIEL HWA

License/Registration Type: Dentist License

License Number: 105568 Primary Status: Current - Active

Address :
1710 W Cameron Ave
Suite 100
WEST COVINA CA 91790-2720
LOS ANGELES COUNTY

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