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Licensing details for: 19357

Name: DRJ DELA OSA DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3625 MLK JR BLVD SUITE 9
LYNWOOD CA 90262
LOS ANGELES county
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Issuance Date

February 27, 2025

Expiration Date

February 28, 2027

Current Date / Time

June 5, 2026
8:04:10 PM

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: DE LA OSA, JORGE C

License/Registration Type: Dentist License

License Number: 54134 Primary Status: Current - Active

Address :
20199 Valley Blvd
F
WALNUT CA 91789-2671
LOS ANGELES COUNTY

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