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Licensing details for: 29516

Name: VILSHANSKY, GARY

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

2101 WASHINGTON AVE
SANTA MONICA CA 90403
LOS ANGELES county
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Practice Location

DR LOPEZ AMERICAN DENTAL
LOS ANGELES CA 90031
LOS ANGELES county
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DR LOPEZ AMERICAN DENTAL
LOS ANGELES CA 90001
LOS ANGELES county
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Issuance Date

October 16, 1980

Expiration Date

September 30, 2021

Current Date / Time

June 7, 2025
7:48:41 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CONTINENTAL DENTAL GROUP - DR. EZEANI

License/Registration Type: Fictitious Name Permit

License Number: 1772 Primary Status: Cancelled

Address :
600 W MANCHESTER AVENUE #2
LOS ANGELES CA 90044
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HOLLYWOOD-VINE DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3336 Primary Status: Cancelled

Address :
5280 HOLLYWOOD BLVD
LOS ANGELES CA 90027
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: HOLLYWOOD-VINE DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3336 Primary Status: Cancelled

Address :
5280 HOLLYWOOD BLVD
LOS ANGELES CA 90027
LOS ANGELES COUNTY

Map

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: CONTINENTAL DENTAL GROUP - DR. EZEANI

License/Registration Type: Fictitious Name Permit

License Number: 1772 Primary Status: Cancelled

Address :
600 W MANCHESTER AVENUE #2
LOS ANGELES CA 90044
LOS ANGELES COUNTY

Map

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