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Licensing details for: 1164

Name: CHAN, WAYMAN MAN WEI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: CHAN, WAYMAN

Address of Record

6909 N ROSEMEAD BLVD
SAN GABRIEL CA 91775
LOS ANGELES county
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Issuance Date

March 19, 2007

Expiration Date

September 30, 2020

Current Date / Time

June 6, 2025
11:34:50 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HUNTINGTON ORTHODONTICS AND DENTAL SPECIALTIES DENTAL PRACTICE OF DRS. CHAN, CHAN, CHENG AND LEE

License/Registration Type: Fictitious Name Permit

License Number: 18283 Primary Status: Current - Active

Address :
1041 W HUNTINGTON DR
ARCADIA CA 91007-6536

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: CHAN, WAYMAN MAN WEI

License/Registration Type: Dentist License

License Number: 53581 Primary Status: Current - Active

Address :
2233 E Garvey Ave N
WEST COVINA CA 91791-1500
LOS ANGELES COUNTY

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