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Licensing details for: 3484

Name: SHAW DENTAL OFFICE, HARRY SHAW, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

9961 EAST VALLEY BLVD, STE E
EL MONTE CA 91731
LOS ANGELES county
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Issuance Date

January 3, 2002

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
7:3:53 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAW, HARRY

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: SHAW, HARRY

License/Registration Type: Dentist License

License Number: 46962 Primary Status: Current - Active

Address :
9961 East Valley Blvd.
Ste E
EL MONTE CA 91731

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