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Licensing details for: 4565

Name: ST THERESE DENTAL OFFICE, CARMEN MILLADO UY, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

320 N VERDUGO RD, STE 100
GLENDALE CA 91206
LOS ANGELES county
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Issuance Date

October 27, 2003

Expiration Date

December 31, 2022

Current Date / Time

June 6, 2025
7:27:9 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: UY, CARMEN MILLADO

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: UY, CARMEN MILLADO

License/Registration Type: Dentist License

License Number: 49694 Primary Status: Current - Active

Address :
320 N Verdugo Rd
100
GLENDALE CA 91206-5238
LOS ANGELES COUNTY

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