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Licensing details for: 18283

Name: HUNTINGTON ORTHODONTICS AND DENTAL SPECIALTIES DENTAL PRACTICE OF DRS. CHAN, CHAN, CHENG AND LEE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1041 W HUNTINGTON DR
ARCADIA CA 91007-6536
LOS ANGELES county
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Practice Location

1041 W HUNTINGTON DR
ARCADIA CA 91007-6536
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Issuance Date

December 6, 2023

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
10:1:4 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHENG, KENNETH WAI-YIN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHAN, KENNETH KA-TAT

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHAN, WAYMAN MAN WEI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, HOWARD

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: CHAN, WAYMAN MAN WEI

License/Registration Type: Dentist License

License Number: 53581 Primary Status: Current - Active

Address :
2233 E Garvey Ave N
WEST COVINA CA 91791-1500
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: CHAN, KENNETH KA-TAT

License/Registration Type: Dentist License

License Number: 47857 Primary Status: Current - Active

Address :
1315 Fair Oaks Ave
103
SOUTH PASADENA CA 91030

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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: LEE, HOWARD

License/Registration Type: Dentist License

License Number: 56363 Primary Status: Current - Active

Address :
6330 E. SPRING STREET
LONG BEACH CA 90815
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: CHENG, KENNETH WAI-YIN

License/Registration Type: Dentist License

License Number: 47862 Primary Status: Current - Active

Address :
1043 W HUNTINGTON DR
ARCADIA CA 91007
LOS ANGELES COUNTY

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