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Licensing details for: 7103

Name: GLENDORA SMILES, DENTAL GROUP OF COMPEAN PROF. DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: GLENDORA SMILES, COMPEAN PROFESSIONAL DENTAL CORPORATION DENTAL GROUP

Address of Record

605 WEST ROUTE 66
GLENDORA CA 91741
LOS ANGELES county
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Issuance Date

September 14, 2007

Expiration Date

May 31, 2015

Current Date / Time

December 13, 2025
3:37:20 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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
12375 Oaks Ave
CHINO CA 91710-2639
SAN BERNARDINO COUNTY

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