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Licensing details for: 4395

Name: SAN DIMAS DENTAL OFFICE, COMPEAN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

923 W ARROW HWY
SAN DIMAS CA 91773
LOS ANGELES county
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Issuance Date

July 20, 2003

Expiration Date

May 31, 2017

Current Date / Time

December 13, 2025
3:40:41 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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
12375 Oaks Ave
CHINO CA 91710-2639
SAN BERNARDINO COUNTY

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