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Licensing details for: 7288

Name: SORAYA ALI OMAR, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

6422 S. WESTERN AVENUE
LOS ANGELES CA 90047
LOS ANGELES county
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Issuance Date

December 14, 2000

Expiration Date

January 31, 2018

Current Date / Time

June 6, 2025
7:35:23 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: OMAR, SORAYA ALI

License/Registration Type: Dentist License

License Number: 41767 Primary Status: Current - Active

Address :
1523 N LA BREA #206
LOS ANGELES CA 90028
LOS ANGELES COUNTY

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