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Licensing details for: 651

Name: NAMVAR-NAMI, TANDIS

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1245 WELLESLEY AVE #303
LOS ANGELES CA 90025
LOS ANGELES county
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Issuance Date

December 30, 2003

Expiration Date

June 30, 2007

Current Date / Time

June 6, 2025
10:28:11 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: NAMVAR-NAMI, TANDIS

License/Registration Type: Dentist License

License Number: 50165 Primary Status: Current - Active

Address :
2534 S Westgate Ave
LOS ANGELES CA 90064-2742
LOS ANGELES COUNTY

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