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Licensing details for: 3266

Name: GROUP DENTAL CENTER DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

5480 PHILADELPHIA STREET SUITE D
CHINO CA 91710
SAN BERNARDINO county
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Issuance Date

July 5, 2001

Expiration Date

September 30, 2017

Current Date / Time

December 13, 2025
9:44:4 AM

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: OU, SU-HWEI

License/Registration Type: Dentist License

License Number: 37890 Primary Status: Expired

Address :
5562 PHILADELPHIA ST #103
CHINO CA 91710
SAN BERNARDINO 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, YEOU-REN

License/Registration Type: Dentist License

License Number: 35856 Primary Status: Expired

Address :
15118 Koury Dr
HACIENDA HEIGHTS CA 91745-6145
LOS ANGELES COUNTY

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