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Licensing details for: 18250

Name: AGOURA ORTHODONTICS BY SNOW OF SNOW ORTHODONTICS DENTAL GROUP, PC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5921 KANAN RD
AGOURA HILLS CA 91301-1688
LOS ANGELES county
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Practice Location

5921 KANAN RD
AGOURA HILLS CA 91301-1688
LOS ANGELES county
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Issuance Date

November 17, 2023

Expiration Date

February 29, 2024

Current Date / Time

June 7, 2025
11:22:20 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SNOW, GILBERT H

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: SNOW, GILBERT H

License/Registration Type: Dentist License

License Number: 19385 Primary Status: Current - Active

Address :
868 AUTO CENTER DR. SUITE C
PALMDALE CA 93550
LOS ANGELES COUNTY

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