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Licensing details for: 68

Name: FISHMAN, SCOTT A

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: FISHMAN, SCOTT ALEXANDER

Address of Record

9818 PARAMOUNT BL
STE A
DOWNEY CA 90240
LOS ANGELES county
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Issuance Date

November 13, 2000

Expiration Date

December 31, 2023

Current Date / Time

June 7, 2025
7:15:58 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDS DENTAL KARE, JERRY LANIER, DDS

License/Registration Type: Fictitious Name Permit

License Number: 1432 Primary Status: Cancelled

Address :
4905 HOLLYWOOD BLVD
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEDIATRIC DENTAL ARTS, DENTAL GROUP OF SCOTT A. FISHMAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 8706 Primary Status: Current - Active

Address :
9818 PARAMOUNT BLVD.
STE. A
DOWNEY CA 90240
LOS ANGELES COUNTY

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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: FISHMAN, SCOTT A

License/Registration Type: Dentist License

License Number: 42311 Primary Status: Current - Active

Address :
9818 Paramount Blvd
DOWNEY CA 90240-4408
LOS ANGELES COUNTY

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