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Licensing details for: 30469

Name: WEINER, NATHANIEL ISAAC

License Type: Dentist

Primary Status: Current - Active

Address of Record

5555 Del Amo Blvd
LAKEWOOD CA 90713-2307
LOS ANGELES county
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Issuance Date

June 4, 1982

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
8:36:8 PM

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: 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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