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Licensing details for: 2998

Name: GANDHI KIM, AVANI D

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: GANDHI, AVANI D

Address of Record

17202 DE GROOT PLACE
CERRITOS CA 90703
LOS ANGELES county
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Issuance Date

August 29, 2013

Expiration Date

September 30, 2015

Current Date / Time

December 13, 2025
9:42:49 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: GANDHI KIM, AVANI D

License/Registration Type: Dentist License

License Number: 56935 Primary Status: Current - Active

Address :
5811 PINE AVE. SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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