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Licensing details for: 7052

Name: AMERICAN DENTAL CENTER OF PALMDALE, DENTAL OFFICE OF MORENO AND N

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

300 E Palmdale Blvd
PALMDALE CA 93550-4517
LOS ANGELES county
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Issuance Date

August 28, 2007

Expiration Date

August 31, 2024

Current Date / Time

June 6, 2025
2:15:37 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NAVARRO, ROSEMARY E

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: NAVARRO, ROSEMARY E

License/Registration Type: Dentist License

License Number: 31677 Primary Status: Current - Active

Address :
14117 Hubbard St
suite K
SYLMAR CA 91342-4700
LOS ANGELES COUNTY

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