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Licensing details for: 7841

Name: NATHANIEL I WEINER, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Partnership

Address of Record

3724 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE county
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Issuance Date

December 18, 2002

Expiration Date

December 31, 2020

Current Date / Time

June 6, 2025
10:35:0 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: WEINER, NATHANIEL ISAAC

License/Registration Type: Dentist License

License Number: 30469 Primary Status: Current - Active

Address :
5555 Del Amo Blvd
LAKEWOOD CA 90713-2307
LOS ANGELES COUNTY

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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: GOODIS, ROBERT K

License/Registration Type: Dentist License

License Number: 30341 Primary Status: Current - Active

Address :
5555 DEL AMO BOULEVARD
LAKEWOOD CA 90713
LOS ANGELES COUNTY

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