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Licensing details for: 9795

Name: CHILDREN'S DENTAL GROUP - EAGLE ROCK, CORINA RAMIREZ, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CHILDREN'S DENTAL GROUP - EAGLE ROCK

Address of Record

2700 COLORADO BOULEVARD, STE. 263
LOS ANGELES CA 90041
LOS ANGELES county
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Practice Location

2700 COLORADO BOULEVARD, STE. 263
LOS ANGELES CA 90041
LOS ANGELES county
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Issuance Date

February 21, 2012

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
2:8:16 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAMIREZ, CORINA

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: RAMIREZ, CORINA

License/Registration Type: Dentist License

License Number: 52676 Primary Status: Current - Active

Address :
1075 VIA VERDE
SAN DIMAS CA 91773-4347
LOS ANGELES COUNTY

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