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Licensing details for: 19220

Name: ST JOHN DENTAL OFFICE OF ATEF HANA DENTAL INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

20810 EAST ARROW HWY
COVINA CA 91724
LOS ANGELES county
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Practice Location

20810 EAST ARROW HWY
COVINA CA 91724
LOS ANGELES county
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Issuance Date

January 6, 2025

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
2:0:15 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HANA, ATEF EDWARD

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: HANA, ATEF EDWARD

License/Registration Type: Dentist License

License Number: 54147 Primary Status: Current - Active

Address :
20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES COUNTY

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