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Licensing details for: 17167

Name: SCHULMAN, JACK D

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Reduced Renewal Fee Radiation Safety Certification

Address of Record

1112 BERKELEY STREET
SANTA MONICA CA 90403
LOS ANGELES county
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Issuance Date

January 1, 1963

Expiration Date

June 30, 2016

Current Date / Time

December 16, 2025
5:53:29 AM

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: DENTURES BY DESIGN

License/Registration Type: Fictitious Name Permit

License Number: 2598 Primary Status: Cancelled

Address :
42-800 BOB HOPE DRIVE #208
RANCHO MIRAGE CA 92270
RIVERSIDE 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: JACK D SCHULMAN DDS A P C ARCADIA DNTL

License/Registration Type: Fictitious Name Permit

License Number: 689 Primary Status: Cancelled

Address :
75 N SANTA ANITA AVE
SUITE 215
ARCADIA CA 91006
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: DENTAL CENTER OF ARCADIA, A DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 1390 Primary Status: Cancelled

Address :
75 N SANTA ANITA AVENUE, STE 215
ARCADIA CA 91006
LOS ANGELES COUNTY

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