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Licensing details for: 283

Name: GREENSPAN, MELVIN ALEXANDER

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

500 SOUTH SEPULVEDA BLVD
SUITE 305
MANHATTAN BEACH CA 90266
LOS ANGELES county
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Issuance Date

January 9, 1995

Expiration Date

January 2, 2019

Current Date / Time

June 7, 2025
2:14:27 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: HOM, EDWARD K

License/Registration Type: Dentist License

License Number: 36939 Primary Status: Current - Active

Address :
1814 Hillhurst Ave
LOS ANGELES CA 90027-4408
LOS ANGELES COUNTY

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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: GREENSPAN, MELVIN ALEXANDER

License/Registration Type: Dentist License

License Number: 36930 Primary Status: Current - Active

Address :
500 SO. SEPULVEDA BLVD.
STE 305
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BEACH CITIES ENDODONTICS, DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 1475 Primary Status: Expired

Address :
500 S. SEPULVEDA BLVD., STE 305
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY

Map

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