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Licensing details for: 5206

Name: DOWNEY DENTAL OFFICE, FLORA C. LARA, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10343 LAKEWOOD BLVD
DOWNEY CA 90241
LOS ANGELES county
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Issuance Date

October 5, 2004

Expiration Date

April 30, 2024

Current Date / Time

June 6, 2025
9:58:38 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LARA, FLORA C

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LARA, FLORA CASTILLO

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: LARA, FLORA CASTILLO

License/Registration Type: Dentist License

License Number: 43454 Primary Status: Current - Inactive

Address :
733 Casa Loma Ln
WALNUT CA 91789-1900
LOS ANGELES COUNTY

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