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Licensing details for: 959

Name: JARAKIAN, SUSAN JENNY

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

18531 ROSCOE BL #207
NORTHRIDGE CA 91324
LOS ANGELES county
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Issuance Date

November 28, 2006

Expiration Date

March 31, 2024

Current Date / Time

June 6, 2025
2:17:15 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDS CHOICE DENTAL, OFFICE OF SUSAN JARAKIAN D.D.S, INC.

License/Registration Type: Fictitious Name Permit

License Number: 8512 Primary Status: Current - Active

Address :
18531 ROSCOE BLVD.
STE. 207
NORTHRIDGE CA 91324
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: JARAKIAN, SUSAN JENNY

License/Registration Type: Dentist License

License Number: 55032 Primary Status: Current - Active

Address :
18531 ROSCOE BLVD #207
NORTHRIDGE CA 91324
LOS ANGELES COUNTY

Map

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