Skip to Main Content

Licensing details for: 910

Name: MARDIROSIAN, MARTIN HAROOTUNE

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

4131 BALLINA DRIVE
ENCINO CA 91436
LOS ANGELES county
Map

Practice Location

Ucla School Of Dentistry
10833 Le Conte Ave.
A0-156 CHS
LOS ANGELES CA 90095-0001
LOS ANGELES county
Map

Issuance Date

December 2, 2014

Expiration Date

March 15, 2018

Current Date / Time

June 5, 2026
9:13:37 PM

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: MARDIROSIAN, MARTIN HAROOTUNE

License/Registration Type: Dentist License

License Number: 61160 Primary Status: Current - Active

Address :
REDONDO ORAL SURGERY
1706 SOUTH ELENA AVE, SUITE A
REDONDO BEACH CA 90277
LOS ANGELES COUNTY

Map

Important Links