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Licensing details for: 37470

Name: OMID, SHAWNA

License Type: Dentist

Primary Status: Current - Active

Previous Names: OMID, SHABNAM OMIDFARD, SHABNAM

Address of Record

4305 TORRANCE BL
STE 103
TORRANCE CA 90503
LOS ANGELES county
Map

Issuance Date

July 26, 1989

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
9:15:27 PM

License Relationships

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: OMID, SHAWNA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2180 Primary Status: Current - Active

Address :
4305 TORRANCE BLVD STE 103
TORRANCE CA 90503
LOS ANGELES COUNTY

Map

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