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Licensing details for: 80014

Name: S. MATIAN DMD A DENTAL CORP

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
LOS ANGELES county
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Practice Location

6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
LOS ANGELES county
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Issuance Date

March 18, 2019

Expiration Date

October 31, 2019

Current Date / Time

October 26, 2026
5:49:42 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: MATIAN, SHERWIN

License/Registration Type: Dentist License

License Number: 61495 Primary Status: Current - Active

Address :
8704 Santa Monica Blvd
Unit #201
WEST HOLLYWOOD CA 90069-4555
LOS ANGELES COUNTY

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