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Licensing details for: 1889

Name: PORTNOFF, LUIZA

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

868 Auto Center Dr
A
PALMDALE CA 93551-4690
LOS ANGELES county
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Practice Location

868 Auto Center Dr
A
PALMDALE CA 93551-4690
LOS ANGELES county
Map

Issuance Date

July 2, 2018

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:21:21 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: PORTNOFF, LUIZA

License/Registration Type: Dentist License

License Number: 63572 Primary Status: Current - Active

Address :
868 Auto Center Dr
150
PALMDALE CA 93551-4690
LOS ANGELES COUNTY

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