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Licensing details for: 119

Name: FORNEY, RYAN DAVIS

License Type: Oral Maxillofacial Surgery

Primary Status: Current - Active

Previous Names: Forney, Ryan Davis

Address of Record

5363 Balboa Blvd
233
ENCINO CA 91316-2805
LOS ANGELES county
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Practice Location

5363 Balboa Blvd
Suite #233
ENCINO CA 91316-2805
LOS ANGELES county
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816 Camarillo Springs Rd
Suite L
CAMARILLO CA 93012-9441
VENTURA county
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Issuance Date

July 1, 2019

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
2:22:18 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: FORNEY, RYAN DAVIS

License/Registration Type: General Anesthesia Permit

License Number: 1951 Primary Status: Current - Active

Address :
5363 Balboa Blvd
233
ENCINO CA 91316-2805
LOS ANGELES COUNTY

Map

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