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Licensing details for: 60432

Name: CLARK, CLAYTON ROSELL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

17909 Soledad Canyon Rd
Suite 160
SANTA CLARITA CA 91387-3210
LOS ANGELES county
Map

Practice Location

17909 Soledad Canyon Rd
Suite 160
SANTA CLARITA CA 91387-3210
LOS ANGELES county
Map

Issuance Date

June 15, 2011

Expiration Date

October 31, 2025

Current Date / Time

June 22, 2025
1:34:59 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: KINNE, ERIN DOREENA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1076 Primary Status: Current - Active

Address Not Disclosed

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