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Licensing details for: 61634

Name: GELLAD, MARYSE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

581 N Larchmont Blvd
LOS ANGELES CA 90004-1305
LOS ANGELES county
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Practice Location

581 N Larchmont Blvd
LOS ANGELES CA 90004-1305
LOS ANGELES county
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Issuance Date

August 1, 2012

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
2:57:6 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: GELLAD, MARYSE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3031 Primary Status: Cancelled

Address :
111 HAMILTON COURT
GRANITE BAY CA 95746
PLACER COUNTY

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