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Licensing details for: 1565

Name: GOLDBERG, KENNETH MITCHELL

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

211 N COLLEGE DR #202
SANTA MARIA CA 93454
SANTA BARBARA county
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Issuance Date

May 23, 2011

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
8:36:7 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: GOLDBERG, KENNETH MITCHELL

License/Registration Type: Dentist License

License Number: 59459 Primary Status: Current - Active

Address :
201 N COLLEGE DR #202
SANTA MARIA CA 93454
SANTA BARBARA COUNTY

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