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Licensing details for: 2053

Name: VAJDA, DEREK LUDOVIT

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Previous Names: Vajda, Derek Ludovit

Address of Record

2001 Wilshire Blvd
Ste 600
SANTA MONICA CA 90403-5641
LOS ANGELES county
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Practice Location

2001 Wilshire Blvd
Ste 600
SANTA MONICA CA 90403-5641
LOS ANGELES county
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9735 Wilshire Blvd Ste 215
BEVERLY HILLS CA 90212-2110
LOS ANGELES county
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Issuance Date

July 3, 2021

Expiration Date

April 30, 2027

Current Date / Time

June 21, 2025
9:44:33 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: VAJDA, DEREK LUDOVIT

License/Registration Type: Dentist License

License Number: 65363 Primary Status: Current - Active

Address :
2001 Wilshire Blvd
Ste 600
SANTA MONICA CA 90403-5641
LOS ANGELES COUNTY

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