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Licensing details for: 2882

Name: PLAZA DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1120 VIA VERDE
SAN DIMAS CA 91773
LOS ANGELES county
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Issuance Date

September 20, 2000

Expiration Date

November 30, 2019

Current Date / Time

June 7, 2025
1:59:56 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: THOMAS, ADRIANA NICOLESCU

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: THOMAS, ADRIANA NICOLESCU

License/Registration Type: Dentist License

License Number: 34296 Primary Status: Cancelled

Address :
1120 VIA VERDE
SAN DIMAS CA 91773
LOS ANGELES COUNTY

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