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Licensing details for: 4847

Name: KAI WU DENTAL OFFICE, KAI WU, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address not disclosed

Issuance Date

March 24, 2004

Expiration Date

September 30, 2021

Current Date / Time

June 6, 2025
10:1:17 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WU, KAI

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: WU, KAI

License/Registration Type: Dentist License

License Number: 50019 Primary Status: Current - Active

Address :
1516 SOUTH 5TH AVE.
ARCADIA CA 91006
LOS ANGELES COUNTY

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