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Licensing details for: 170

Name: VIRATA, ROBERT JOSEPH

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: VIRATA, ROBERT J

Address of Record

1325 26TH ST. APT A
SANTA MONICA CA 90404
LOS ANGELES county
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Practice Location

2100 SOLAR DR. SUITE 201
OXNARD CA 93036
VENTURA county
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Issuance Date

October 17, 2023

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
1:23:47 PM

License Relationships

PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: VIRATA, ROBERT JOSEPH

License/Registration Type: Dentist License

License Number: 56795 Primary Status: Current - Active

Address :
1325 26th St
Unit A
SANTA MONICA CA 90404-2051
LOS ANGELES COUNTY

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