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Licensing details for: 4677

Name: CEDARS DENTISTRY DENTAL PRACTICE, DANIEL H CALLAGHAN, DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

3037 MARTHA DR
VENTURA CA 93003
VENTURA county
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Issuance Date

December 23, 2003

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
6:45:38 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CALLAGHAN, DANIEL HURLEY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, JACK I

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, JACK I-CHING

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CALLAGHAN, DANIEL H

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: LEE, JACK I-CHING

License/Registration Type: Dentist License

License Number: 49575 Primary Status: Current - Active

Address :
3030 madero ct west covina
WEST COVINA CA 91791
LOS ANGELES COUNTY

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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: CALLAGHAN, DANIEL HURLEY

License/Registration Type: Dentist License

License Number: 47854 Primary Status: Current - Active

Address :
2474 Springbrook St
THOUSAND OAKS CA 91362-1146
VENTURA COUNTY

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