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Licensing details for: 11859

Name: ANDREI SOUCHITSKI, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: ANDREI SOUCHITSKI DDS INC

Address of Record

2007 WILSHIRE BLVD
SUITE 525
LOS ANGELES CA 90057
LOS ANGELES county
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Practice Location

2007 WILSHIRE BLVD
SUITE 525
LOS ANGELES CA 90057
LOS ANGELES county
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Issuance Date

May 14, 2015

Expiration Date

April 30, 2022

Current Date / Time

June 6, 2025
10:31:35 AM

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: SOUCHITSKI, ANDREI

License/Registration Type: Dentist License

License Number: 43249 Primary Status: Current - Active

Address :
514 E WASHINGTON BLVD
LOS ANGELES CA 90015
LOS ANGELES COUNTY

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