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Licensing details for: 5666

Name: AMERICAN FAMILY DENTISTRY, RODY PAZ CASANOVA DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

18440 SHERMAN WAY
RESEDA CA 91335
LOS ANGELES county
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Issuance Date

July 15, 2005

Expiration Date

September 30, 2008

Current Date / Time

June 5, 2026
5:41:32 PM

License Relationships

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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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