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Licensing details for: 216

Name: FISHMAN, SCOTT A

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: FISHMAN, SCOTT ALEXANDER

Address of Record

9818 PARAMOUNT AVE. SUITE A
DOWNEY CA 90240
LOS ANGELES county
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Practice Location

9818 PARAMOUNT AVE. SUITE A
DOWNEY CA 90240
LOS ANGELES county
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Issuance Date

December 5, 2023

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
6:47:24 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEDIATRIC DENTAL ARTS, DENTAL GROUP OF SCOTT A. FISHMAN, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 8706 Primary Status: Current - Active

Address :
9818 PARAMOUNT BLVD.
STE. A
DOWNEY CA 90240
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDS DENTAL KARE, JERRY LANIER, DDS

License/Registration Type: Fictitious Name Permit

License Number: 1432 Primary Status: Cancelled

Address :
4905 HOLLYWOOD BLVD
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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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: FISHMAN, SCOTT A

License/Registration Type: Dentist License

License Number: 42311 Primary Status: Current - Active

Address :
9818 Paramount Blvd
DOWNEY CA 90240-4408
LOS ANGELES COUNTY

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