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Licensing details for: 4406

Name: PCH DENTAL OFFICE, MAHA HANNA, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2207 PACIFIC COAST HWY
LOMITA CA 90717
LOS ANGELES county
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Issuance Date

July 30, 2003

Expiration Date

August 31, 2016

Current Date / Time

June 7, 2025
3:12:30 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HANNA, MAHA

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HANNA, MAHA MORISE

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: HANNA, MAHA MORISE

License/Registration Type: Dentist License

License Number: 42543 Primary Status: Current - Active

Address :
3710 Pacific Coast Hwy # 101
101
TORRANCE CA 90505-5914
LOS ANGELES COUNTY

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