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Licensing details for: 12625

Name: SUSMAN, ARNOLD

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Radiation Safety Certification issued by the Board

Address of Record

1505 BARRY AVE.
#101
LOS ANGELES CA 90025
LOS ANGELES county
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Issuance Date

January 1, 1954

Expiration Date

September 30, 2015

Current Date / Time

June 6, 2025
2:29:10 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DR BERKE'S GOLDEN AGE DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 1056 Primary Status: Cancelled

Address :
DENTAL PRACTICE
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92631
ORANGE 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: DR BERKE'S GOLDEN AGE DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 1056 Primary Status: Cancelled

Address :
DENTAL PRACTICE
701 S. RAYMOND AVENUE, STE. 4B
FULLERTON CA 92631
ORANGE COUNTY

Map

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