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Licensing details for: 260

Name: SIMAN, EDDIE

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

14629 VENTURA BLVD
SHERMAN OAKS CA 91403
LOS ANGELES county
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Practice Location

14629 VENTURA BLVD
SHERMAN OAKS CA 91403
LOS ANGELES county
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Issuance Date

September 15, 2023

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:2:53 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MILLENNIUM DENTAL OFFICE, EDDIE SIMAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4672 Primary Status: Current - Active

Address :
14629 VENTURA BLVD
SHERMAN OAKS CA 91423
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFFORDABLE GENTLE DENTAL GROUP, EDDIE SIMAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4692 Primary Status: Cancelled

Address :
6600 VAN NUYS BLVD
VAN NUYS CA 91405
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EL CENTRO DENTAL GROUP, EDDIE SIMAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4691 Primary Status: Cancelled

Address :
1111 S 4TH STREET
EL CENTRO CA 92243
IMPERIAL COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BRAWLEY DENTAL GROUP DENTAL OFFICE OF DR. SIMAN DENTAL, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13342 Primary Status: Current - Active

Address :
250 MAIN STREET
BRAWLEY CA 92227
IMPERIAL COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EL CENTRO DENTAL, OFFICE OF SIMAN DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 14415 Primary Status: Current - Active

Address :
1111 SOUTH FOURTH ST
EL CENTRO CA 92243
IMPERIAL COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SIMAN, EDDIE

License/Registration Type: Dentist License

License Number: 36834 Primary Status: Current - Active

Address :
14629 VENTURA BLVD
SHERMAN OAKS CA 91423
LOS ANGELES COUNTY

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