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Licensing details for: 52828

Name: BARSAM, RAFFI ROBERT

License Type: Dentist

Primary Status: Current - Active

Address of Record

4530 Sherman Oaks Ave
SHERMAN OAKS CA 91403-3010
LOS ANGELES county
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Issuance Date

July 30, 2004

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
8:11:33 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHERMAN OAKS DENTAL AESTHETICS BARSAM DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 12863 Primary Status: Expired

Address :
4530 SHERMAN OAKS AVENUE
SHERMAN OAKS CA 91403
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: SHERMAN OAKS DENTAL AESTHETICS BARSAM DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 12863 Primary Status: Expired

Address :
4530 SHERMAN OAKS AVENUE
SHERMAN OAKS CA 91403
LOS ANGELES COUNTY

Map

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