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Licensing details for: 30024

Name: TARNAVSKY, IRINA MIHAELA

License Type: Dentist

Primary Status: Current - Active

Previous Names: TARNAVSCHI, IRINA MIHAELA

Address of Record

3256 Laurel Canyon Blvd
STUDIO CITY CA 91604-4130
LOS ANGELES county
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Issuance Date

July 1, 1981

Expiration Date

January 31, 2026

Current Date / Time

December 13, 2025
7:56:38 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: CHILDREN'S DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 732 Primary Status: Cancelled

Address :
SCOTT JACKS DDS INC
4444 TWEEDY BLVD
SOUTH GATE CA 90292
LOS ANGELES COUNTY

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OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: TARNAVSKY, IRINA MIHAELA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 235 Primary Status: Cancelled

Address :
3256 LAUREL CANYON
STUDIO CITY CA 91604
LOS ANGELES COUNTY

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