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Licensing details for: 30341

Name: GOODIS, ROBERT K

License Type: Dentist

Primary Status: Current - Active

Address of Record

5555 DEL AMO BOULEVARD
LAKEWOOD CA 90713
LOS ANGELES county
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Issuance Date

May 7, 1982

Expiration Date

October 31, 2026

Current Date / Time

December 13, 2025
7:54:52 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: ROBERT GOODIS, DDS

License/Registration Type: Additional Office Permit

License Number: 7839 Primary Status: Cancelled

Address :
3724 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE COUNTY

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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: NATHANIEL I WEINER, DDS

License/Registration Type: Additional Office Permit

License Number: 7841 Primary Status: Expired

Address :
3724 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE COUNTY

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