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Licensing details for: 53065

Name: GIMLEN, AMY ALAND

License Type: Dentist

Primary Status: Current - Active

Address of Record

973 Manhattan Beach Blvd Ste C
MANHATTAN BEACH CA 90266-5131
LOS ANGELES county
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Issuance Date

August 6, 2004

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
3:25:39 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: AMY A. GIMLEN D.D.S. M.S., INC.

License/Registration Type: Additional Office Permit

License Number: 10108 Primary Status: Cancelled

Address :
512 MAIN ST.
STE. 3
EL SEGUNDO CA 90245
LOS ANGELES 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: AMY A. GIMLEN D.D.S. M.S., INC.

License/Registration Type: Additional Office Permit

License Number: 11443 Primary Status: Current - Active

Address :
512 MAIN STREET #3
EL SEGUNDO CA 90245
LOS ANGELES COUNTY

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