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Licensing details for: 736

Name: GOMEZ, ALEXANDRIA VANESSA

License Type: RDH Alternative Practice

Primary Status: Delinquent

Address not disclosed

Issuance Date

March 29, 2019

Expiration Date

January 31, 2022

Current Date / Time

June 6, 2025
1:53:40 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: KAUFMAN, MATTHEW SETH

License/Registration Type: Dentist License

License Number: 60470 Primary Status: Current - Active

Address :
10760 WASHINGTON BL
CULVER CITY CA 90232
LOS ANGELES COUNTY

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Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Registered Dental Hygienist

Name: GOMEZ, ALEXANDRIA VANESSA

License/Registration Type: Registered Dental Hygienist

License Number: 28417 Primary Status: Current - Active

Address Not Disclosed

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