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Licensing details for: 7301

Name: IRWIN FAMILY DENTAL GROUP, PHILLIP Z. H. KAW, A DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: IRWIN FAMILY DENTAL GROUP

Address of Record

402 LANGFORD LAKE RD.
FORT IRWIN CA 92310
SAN BERNARDINO county
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Issuance Date

January 24, 2008

Expiration Date

January 31, 2010

Current Date / Time

June 6, 2025
1:20:44 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KAW, PHILLIP ZAW-HTUN

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: KAW, PHILLIP ZAW-HTUN

License/Registration Type: Dentist License

License Number: 40627 Primary Status: Current - Active

Address :
635 E Garvey Ave
MONTEREY PARK CA 91755-1910
LOS ANGELES COUNTY

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