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Licensing details for: 62844

Name: SHAMTOUB, GABREAL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

5567 Reseda Blvd
100
TARZANA CA 91356-2674
LOS ANGELES county
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Issuance Date

August 13, 2013

Expiration Date

January 31, 2027

Current Date / Time

December 15, 2025
12:39:29 PM

License Relationships

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: LA ENDODONTICS DR. GABREAL SHAMTOUB DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 15111 Primary Status: Expired

Address :
5567 RESEDA BLVD STE 100
TARZANA CA 91356
LOS ANGELES COUNTY

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