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Licensing details for: 601

Name: Henriod, Joel Barrett

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

72 N Hill Ave
PASADENA CA 91106-1905
LOS ANGELES county
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Practice Location

72 N Hill Ave
72 N Hill Avenue
PASADENA CA 91106-1905
LOS ANGELES county
Map

Issuance Date

December 10, 2024

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
3:13:37 PM

License Relationships

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: HENRIOD, JOEL B

License/Registration Type: Dentist License

License Number: 55124 Primary Status: Current - Active

Address :
72 N Hill Ave
PASADENA CA 91106-1905
LOS ANGELES COUNTY

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