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Licensing details for: 1238

Name: GARABEDIAN, RAFFIE

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

2920 Manhattan Ave
LA CRESCENTA CA 91214-3833
LOS ANGELES county
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Practice Location

1049 N Demaree St
VISALIA CA 93291-4119
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2320 17th St
BAKERSFIELD CA 93301-3504
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Issuance Date

July 9, 2020

Expiration Date

July 6, 2022

Current Date / Time

June 7, 2025
2:15:13 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: GARABEDIAN, RAFFIE

License/Registration Type: Dentist License

License Number: 101453 Primary Status: Current - Active

Address :
2920 Manhattan Ave
LA CRESCENTA CA 91214-3833
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WARNER DENTAL GROUP GARABEDIAN DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 19514 Primary Status: Current - Active

Address :
10810 WARNER AVE STE 1
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ELITE DENTAL GROUP GARABEDIAN DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17798 Primary Status: Current - Active

Address :
23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE COUNTY

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