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Licensing details for: 1960

Name: COPPELSON, KEVIN BEHRANG

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

10921 Wilshire Blvd
Suite 912
LOS ANGELES CA 90024-3906
LOS ANGELES county
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Practice Location

10921 WILSHIRE BLVD, STE. 912
LOS ANGELES CA 90024
LOS ANGELES county
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Issuance Date

August 6, 2019

Expiration Date

December 31, 2026

Current Date / Time

June 21, 2025
9:52:31 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DIAMOND BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 19074 Primary Status: Current - Active

Address :
9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES COUNTY

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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: COPPELSON, KEVIN BEHRANG

License/Registration Type: Dentist License

License Number: 101077 Primary Status: Current - Active

Address :
27901 La Paz Rd
Ste D,
LAGUNA NIGUEL CA 92677-3932

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