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Licensing details for: 22

Name: DESAI, BHUMI BHARATKUMAR

License Type: Pediatric Minimal Sedation Permit

Primary Status: Expired Primary Status Definition

Address of Record

1000 W. 8TH ST. APT 4512
LOS ANGELES CA 90017
LOS ANGELES county
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Practice Location

411 N. LARCHMONT BLVD
LOS ANGELES CA 90004
LOS ANGELES county
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Issuance Date

December 20, 2022

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
9:50:12 AM

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: DESAI, BHUMI BHARAT

License/Registration Type: Dentist License

License Number: 106161 Primary Status: Current - Active

Address :
2231 Dufour Ave
REDONDO BEACH CA 90278
LOS ANGELES COUNTY

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