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Licensing details for: 4001

Name: KIDS DENTAL KARE, DENTAL GROUP OF JERRY L LANIER, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

7705 S ATLANTIC AVE, #B
CUDAHY CA 90201
LOS ANGELES county
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Issuance Date

November 21, 2002

Expiration Date

May 31, 2007

Current Date / Time

June 7, 2025
9:23:32 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LANIER, JERRY LEE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LANIER, JERRY L

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: LANIER, JERRY LEE

License/Registration Type: Dentist License

License Number: 40088 Primary Status: Current - Active

Address :
2215 N VERMONT AVENUE
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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