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Licensing details for: 9154

Name: SUNSTAR DENTAL CARE, DENTAL OFFICE OF PAZ CASANOVA DENTAL CORPORA

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: SUNSTAR DENTAL CARE

Address of Record

525 S AZUSA WAY
LA PUENTE CA 91744
LOS ANGELES county
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Practice Location

525 S AZUSA WAY
LA PUENTE CA 91744
LOS ANGELES county
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Issuance Date

January 20, 2011

Expiration Date

September 30, 2024

Current Date / Time

June 5, 2026
5:41:31 PM

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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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