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Licensing details for: 448

Name: STAN, JOSEPH N

License Type: Conscious Sedation

Primary Status: Revoked

Address of Record

8500 WILSHIRE BLVD
SUITE 505
BEVERLY HILLS CA 90211
LOS ANGELES county
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Issuance Date

July 27, 2004

Expiration Date

N/A

Current Date / Time

December 13, 2025
1:59:39 PM

Public Record Actions

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: STAN, JOSEPH N

License/Registration Type: Dentist License

License Number: 40021 Primary Status: Current - Active

Address :
329 S Clark Dr
BEVERLY HILLS CA 90211-3607
LOS ANGELES COUNTY

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