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Licensing details for: 61350

Name: KLEIN, RAYMOND MITCHELL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: KLEIN, RAYMOND

Address of Record

6167 Bristol Pkwy Ste 106
CULVER CITY CA 90230-6611
LOS ANGELES county
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Issuance Date

May 29, 2012

Expiration Date

October 31, 2027

Current Date / Time

December 13, 2025
11:42:9 AM

License Relationships

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: KLEIN, RAYMOND MITCHELL

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2844 Primary Status: Cancelled

Address :
6167 Bristol Pkwy Ste 104
CULVER CITY CA 90230-6611
LOS ANGELES COUNTY

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