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Licensing details for: 8675

Name: CLINICA DENTAL FAMILIAR SEVILLE, DENTAL OFFICE OF EDUARDO W. SERV

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: CLINICA DENTAL FAMILIAR SEVILLE

Address of Record

6615 SEVILLE AVE.
HUNTINGTON PARK CA 90255
LOS ANGELES county
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Issuance Date

March 25, 2010

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
10:4:42 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SERVAN DIAZ, EDUARDO W

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: SERVAN DIAZ, EDUARDO W

License/Registration Type: Dentist License

License Number: 57321 Primary Status: Current - Active

Address :
6615 Seville Ave
HUNTINGTON PARK CA 90255-4801
LOS ANGELES COUNTY

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