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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

9055 Woodman Ave
ARLETA CA 91331-6404
LOS ANGELES county
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Practice Location

9055 Woodman Ave
ARLETA CA 91331-6404
LOS ANGELES county
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Issuance Date

July 11, 2022

Expiration Date

January 31, 2028

Current Date / Time

December 15, 2025
10:47:17 PM

License Relationships

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

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