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Licensing details for: 861

Name: HEMMATI, AMIR

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2045 TONDOLEA LN.
LA CANADA CA 91011
LOS ANGELES county
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Issuance Date

October 18, 2005

Expiration Date

June 30, 2023

Current Date / Time

June 6, 2025
10:16:25 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: HEMMATI, AMIR

License/Registration Type: Dentist License

License Number: 49109 Primary Status: Current - Active

Address :
2045 TONDOLEA LN.
LA CANADA CA 91011
LOS ANGELES COUNTY

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