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Licensing details for: 7919

Name: ARCADIA DENTAL GROUP, DAVID C. KOO, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

111 E. LIVE OAK AVENUE
ARCADIA CA 91006
LOS ANGELES county
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Practice Location

111 E. LIVE OAK AVENUE
ARCADIA CA 91006
LOS ANGELES county
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Issuance Date

December 29, 2008

Expiration Date

June 30, 2009

Current Date / Time

December 13, 2025
7:54:3 AM

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: KOO, DAVID C

License/Registration Type: Dentist License

License Number: 35925 Primary Status: Current - Active

Address :
3230 SANTA ANITA
SOUTH EL MONTE CA 91733
LOS ANGELES COUNTY

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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: CHO, GRACE H.O.

License/Registration Type: Dentist License

License Number: 35421 Primary Status: Current - Active

Address :
8215 VAN NUYS BLVD
SUITE 220
PANORAMA CITY CA 91402
LOS ANGELES COUNTY

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