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Licensing details for: 28957

Name: MASSOTH, IRVIN RICHARD

License Type: Dentist

Primary Status: Expired Primary Status Definition

Secondary Status: Reduced Renewal Fee

Previous Names: MASSOTH, IRVINE RICHARD MASSOTH, I RICHARD

Address of Record

3915 PARK ANTONIO
CALABASAS CA 91302
LOS ANGELES county
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Issuance Date

July 8, 1980

Expiration Date

December 31, 2021

Current Date / Time

December 13, 2025
11:42:2 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: R. MASSOTH, DDS & L. LAFLAMME, DMD, INC.

License/Registration Type: Additional Office Permit

License Number: 9588 Primary Status: Cancelled

Address :
4910 VAN NUYS BLVD.
STE. 100
SHERMAN OAKS CA 90403
LOS ANGELES COUNTY

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