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Licensing details for: 4414

Name: C-A FAMILY DENTAL CARE, A DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

18701 SHERMAN WAY, STE 3
RESEDA CA 91335
LOS ANGELES county
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Issuance Date

July 30, 2003

Expiration Date

October 31, 2006

Current Date / Time

June 6, 2025
6:37:52 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PABLO, CAROLINA GERONIMO

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: PABLO, CAROLINA GERONIMO

License/Registration Type: Dentist License

License Number: 43383 Primary Status: Current - Active

Address :
7231 CORBIN AVE
WINNETKA CA 91306
LOS ANGELES COUNTY

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