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Licensing details for: 7203

Name: RENE GHOTANIAN, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5363 BALBOA BLVD #346
ENCINO CA 91316
LOS ANGELES county
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Issuance Date

July 3, 2000

Expiration Date

June 30, 2022

Current Date / Time

June 7, 2025
10:17:28 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: GHOTANIAN, RENE

License/Registration Type: Dentist License

License Number: 42824 Primary Status: Current - Active

Address :
5363 Balboa Blvd Ste 346
ENCINO CA 91316-2836
LOS ANGELES COUNTY

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