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Licensing details for: 7579

Name: GLENVINE DENTAL CARE, DENTAL OFFICE OF ZAFIRO Q. ZAPANTA, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: GLENVINE DENTAL CARE

Address of Record

945 S. GLENDORA AVE.
WEST COVINA CA 91790
LOS ANGELES county
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Issuance Date

August 18, 2008

Expiration Date

August 31, 2013

Current Date / Time

June 6, 2025
2:3:0 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZAPANTA, ZAFIRO QUIMSING

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: ZAPANTA, ZAFIRO QUIMSING

License/Registration Type: Dentist License

License Number: 40770 Primary Status: Current - Active

Address :
2632 Petunia St
WEST COVINA CA 91792-2628
LOS ANGELES COUNTY

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