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Licensing details for: 10760

Name: VALENTINA GOREN, DDS MICHAEL GOREN, DDS, A PROF. CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: VALENTINA GOREN D.D.S. MICHAEL GOREN, D.D.S., INC

Address of Record

14256 VENTURA BLVD., #1
SHERMAN OAKS CA 91423
LOS ANGELES county
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Issuance Date

June 26, 2012

Expiration Date

May 31, 2020

Current Date / Time

June 6, 2025
7:46:23 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: GOREN, VALENTINA

License/Registration Type: Dentist License

License Number: 53216 Primary Status: Current - Active

Address :
14256 Ventura Blvd
Ste 1
SHERMAN OAKS CA 91423-2754
LOS ANGELES COUNTY

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