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Licensing details for: 2709

Name: YAGHOUBI, EDMOND

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1467 S HOLT AVE
LOS ANGELES CA 90035
LOS ANGELES county
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Issuance Date

February 1, 2012

Expiration Date

June 30, 2014

Current Date / Time

April 5, 2026
8:22:12 AM

License Relationships

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: YAGHOUBI, EDMOND

License/Registration Type: Dentist License

License Number: 58304 Primary Status: Current - Active

Address :
1748 S Corning St
LOS ANGELES CA 90035-4302
LOS ANGELES COUNTY

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