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Licensing details for: 3784

Name: MAYWOOD DENTAL CENTER, DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

4509 E SLAUSON AVE, #B
MAYWOOD CA 90270
LOS ANGELES county
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Issuance Date

July 17, 2002

Expiration Date

June 30, 2012

Current Date / Time

June 13, 2026
5:45:31 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: WONG, JAMES THAIK-BEING

License/Registration Type: Dentist License

License Number: 42713 Primary Status: Current - Active

Address :
5714 ATLANTIC BLVD
MAYWOOD CA 90270
LOS ANGELES COUNTY

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