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Licensing details for: 9673

Name: MONROVIA MODERN DENTISTRY DENTAL GROUP, BHATIA AND SHETTY DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MONROVIA MODERN DENTISTRY DENTAL GROUP

Address of Record

460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
LOS ANGELES county
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Practice Location

460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
LOS ANGELES county
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Issuance Date

December 9, 2011

Expiration Date

December 31, 2019

Current Date / Time

June 6, 2025
1:48:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STROMBERG, LOUIS ZANE

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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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