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Licensing details for: 9433

Name: AMERICAN DENTAL CARE, DENTAL GROUP OF CADALSO DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: AMERICAN DENTAL CARE

Address of Record

9849 S. ATLANTIC AVENUE, STE. F
SOUTH GATE CA 90280
LOS ANGELES county
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Practice Location

9849 S. ATLANTIC AVENUE, STE. F
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

July 8, 2011

Expiration Date

December 31, 2011

Current Date / Time

June 7, 2025
4:2:34 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CADALSO, ROBERT TOMAS JR

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: CADALSO, ROBERT TOMAS JR

License/Registration Type: Dentist License

License Number: 30639 Primary Status: Deceased

Address :
2855 Chateau Way
LAGUNA BEACH CA 92651-2010
ORANGE COUNTY

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