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Licensing details for: 9014

Name: BEAUTIFUL SMILE DENTAL GROUP, ISAAC J CHEN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: BEAUTIFUL SMILE DENTAL GROUP

Address of Record

2071 S ATLANTIC BOULEVARD
STE. F
MONTEREY PARK CA 91754
LOS ANGELES county
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Practice Location

2071 S ATLANTIC BOULEVARD
STE. F
MONTEREY PARK CA 91754
LOS ANGELES county
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Issuance Date

October 14, 2010

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
6:37:2 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHEN, ISAAC JIN-WEI

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: CHEN, ISAAC JIN-WEI

License/Registration Type: Dentist License

License Number: 36069 Primary Status: Current - Active

Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY

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