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Licensing details for: 577

Name: WEITZEL, JENNIFER LYNN

License Type: RDH Alternative Practice

Primary Status: Current - Active

Address not disclosed

Issuance Date

July 3, 2015

Expiration Date

August 31, 2027

Current Date / Time

June 6, 2026
5:55:15 PM

License Relationships

Fictitious Name Permit to Registered Dental Hygienist Alternative Practice

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Fictitious Name Permit

Name: MILES FOR SMILES, DENTAL HYGIENE PRACTICE OF

License/Registration Type: Fictitious Name Permit

License Number: 201 Primary Status: Current - Active

Address :
JENNIFER WEITZEL, RDHAP
7611 LIPPIZAN DR
RIVERSIDE CA 92509
RIVERSIDE COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: SHAHANGIAN, BAHRAM BRIAN

License/Registration Type: Dentist License

License Number: 44083 Primary Status: Current - Active

Address :
2950 los feliz blvd.,
suite 200
LOS ANGELES CA 90039
LOS ANGELES COUNTY

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