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Licensing details for: 7990

Name: BAY DENTAL CENTER, DENTAL OFFICE OF PATEL-PANDYA PROFESSIONAL DEN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: BAY DENTAL CENTER

Address of Record

16910 S. HAWTHORNE BOULEVARD
LAWNDALE CA 90260
LOS ANGELES county
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Practice Location

16910 S. HAWTHORNE BOULEVARD
LAWNDALE CA 90260
LOS ANGELES county
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Issuance Date

February 13, 2009

Expiration Date

September 30, 2015

Current Date / Time

November 3, 2025
2:37:27 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: PANDYA, SUNEN G

License/Registration Type: Dentist License

License Number: 50805 Primary Status: Current - Active

Address :
8014 Lower Sacramento Rd Ste B
STOCKTON CA 95210-3747
SAN JOAQUIN COUNTY

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