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Licensing details for: 61495

Name: MATIAN, SHERWIN

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Method of Application: Licensure by Residency

Address of Record

8704 Santa Monica Blvd
Uniy # 201
WEST HOLLYWOOD CA 90069-4555
LOS ANGELES county
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Practice Location

8704 Santa Monica Blvd
Unit #201
WEST HOLLYWOOD CA 90069-4555
LOS ANGELES county
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Issuance Date

July 13, 2012

Expiration Date

October 31, 2027

Current Date / Time

October 26, 2026
4:51:31 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: S. MATIAN DMD A DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 80014 Primary Status: Cancelled

Address :
6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
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: VIP DENTAL SPAS DENTAL GROUP, SHERWIN MATIAN, DMD, A DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13916 Primary Status: Expired

Address :
8747 SANTA MONICA BLVD
WEST HOLLYWOOD CA 90069
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: VIP DENTAL SPAS DENTAL GROUP MATIAN HAKHAMIAN PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 12154 Primary Status: Cancelled

Address :
8747 SANTA MONICA BLVD
WEST HOLLYWOOD CA 90069
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: DENTAL OFFICE DE LENNOX

License/Registration Type: Fictitious Name Permit

License Number: 19679 Primary Status: Current - Active

Address :
4500 LENNOX BLVD
INGLEWOOD CA 90304
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: DASH DENTAL SPAS DENTAL PRACTICE OF S. MATIAN DMD INC

License/Registration Type: Fictitious Name Permit

License Number: 14956 Primary Status: Cancelled

Address :
6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
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: Smile Lounge West Hollywood Dental group

License/Registration Type: Fictitious Name Permit

License Number: 19954 Primary Status: Current - Active

Address :
8704 Santa Monica Blvd Suite 201 A
WEST HOLLYWOOD CA 90069-4555
LOS ANGELES COUNTY

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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: MATIAN, SHERWIN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2802 Primary Status: Cancelled

Address :
8747 Santa Monica Blvd
WEST HOLLYWOOD CA 90069-4507
LOS ANGELES COUNTY

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