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Licensing details for: 4175

Name: DESAI, BHUMI BHARAT

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

3311 S. LA CIENEGA BLVD, APT 1413
LOS ANGELES CA 90016
LOS ANGELES county
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Issuance Date

September 7, 2021

Expiration Date

January 23, 2023

Current Date / Time

June 6, 2025
8:49:31 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: DESAI, BHUMI BHARAT

License/Registration Type: Dentist License

License Number: 106161 Primary Status: Current - Active

Address :
2231 Dufour Ave
REDONDO BEACH CA 90278
LOS ANGELES COUNTY

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