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Licensing details for: 684

Name: BAYRAMYAN, JACK

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2141 Rimcrest Dr
GLENDALE CA 91207-1058
LOS ANGELES county
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Issuance Date

May 17, 2004

Expiration Date

June 30, 2021

Current Date / Time

December 13, 2025
2:4:6 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: BAYRAMYAN, JACK

License/Registration Type: Dentist License

License Number: 51044 Primary Status: Current - Active

Address :
2141 Rimcrest Dr
GLENDALE CA 91207-1058
LOS ANGELES COUNTY

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