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Licensing details for: 5254

Name: VERMONT DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

732 S VERMONT AVENUE
LOS ANGELES CA 90005
LOS ANGELES county
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Issuance Date

November 2, 2004

Expiration Date

February 28, 2010

Current Date / Time

June 6, 2025
2:2:5 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RYUMAN, DAVID KEUNJOO

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: RYUMAN, DAVID KEUNJOO

License/Registration Type: Dentist License

License Number: 38153 Primary Status: Current - Active

Address :
2520 W 8TH STREET SUITE 207
LOS ANGELES CA 90057
LOS ANGELES COUNTY

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