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Licensing details for: 107589

Name: DIRECTOR, CHELSEA MISHA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

370 SOUTH OAKLAND AVENUE
PASADENA CA 91101
LOS ANGELES county
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Issuance Date

July 11, 2022

Expiration Date

January 31, 2026

Current Date / Time

June 22, 2025
1:36:42 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DIAMOND BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 19074 Primary Status: Current - Active

Address :
9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: DIAMOND BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 19074 Primary Status: Current - Active

Address :
9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES COUNTY

Map

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