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Licensing details for: 1112

Name: CHAMBERLAIN, ANNA PAULA GOMES FERREIRA

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

1441 VETERAN AVE #216
LOS ANGELES CA 90024
LOS ANGELES county
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Practice Location

41253 12TH STREET WEST #C
PALMDALE CA 93551
LOS ANGELES county
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Issuance Date

September 20, 2017

Expiration Date

September 30, 2018

Current Date / Time

June 6, 2025
1:50:48 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: CHAMBERLAIN, ANNA PAULA GOMES FERREIRA

License/Registration Type: Dentist License

License Number: 101218 Primary Status: Current - Active

Address :
41253 12th St W Ste C
PALMDALE CA 93551-1413
LOS ANGELES COUNTY

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