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Licensing details for: 47352

Name: BURNETT, CHRISTIE RACHELLE

License Type: Dentist

Primary Status: Current - Active

Address of Record

8540 S SEPULVEDA BLVD
STE 710
LOS ANGELES CA 90045
LOS ANGELES county
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Issuance Date

September 25, 2000

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
8:23:59 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESTCHESTER PEDIATRIC DENTISTRY, DENTAL OFFICE OF DEEPA SREENIVAS

License/Registration Type: Fictitious Name Permit

License Number: 7242 Primary Status: Current - Active

Address :
8540 S. SEPULVEDA
STE. 710
LOS ANGELES CA 90045
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: WESTCHESTER PEDIATRIC DENTISTRY, DENTAL OFFICE OF DEEPA SREENIVAS

License/Registration Type: Fictitious Name Permit

License Number: 7242 Primary Status: Current - Active

Address :
8540 S. SEPULVEDA
STE. 710
LOS ANGELES CA 90045
LOS ANGELES COUNTY

Map

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: BURNETT, CHRISTIE RACHELLE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 461 Primary Status: Cancelled

Address :
8540 SOUTH SEPULVEDA BL #710
LOS ANGELES CA 90045
LOS ANGELES COUNTY

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