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Licensing details for: 2732

Name: GUTTMAN, JEROME ALAN

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

211 CULVER BLVD
STE T
PLAYA DEL REY CA 90293
LOS ANGELES county
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Issuance Date

April 9, 2012

Expiration Date

February 28, 2025

Current Date / Time

June 6, 2025
8:33:46 PM

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: GUTTMAN, JEROME ALAN

License/Registration Type: Dentist License

License Number: 29600 Primary Status: Current - Active

Address :
211 Culver Blvd.
Suite T
PLAYA DEL REY CA 90293-7776
LOS ANGELES COUNTY

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