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Licensing details for: 7724

Name: GHOTANIAN, DDS, PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

870 HAMPSHIRE RD, #C
WESTLAKE VILLAGE CA 91361
VENTURA county
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Issuance Date

July 1, 2002

Expiration Date

June 30, 2016

Current Date / Time

June 6, 2025
10:16:51 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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