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Licensing details for: 59459

Name: GOLDBERG, KENNETH MITCHELL

License Type: Dentist

Primary Status: Current - Active

Address of Record

201 N COLLEGE DR #202
SANTA MARIA CA 93454
SANTA BARBARA county
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Issuance Date

July 12, 2010

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
6:57:32 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: GOLDBERG, KENNETH MITCHELL

License/Registration Type: General Anesthesia Permit

License Number: 1565 Primary Status: Current - Active

Address :
211 N COLLEGE DR #202
SANTA MARIA CA 93454
SANTA BARBARA COUNTY

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