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Licensing details for: 100876

Name: TANNER, ALAN KEVIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

8089 MADISON AVE, SUITE #2
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Issuance Date

September 15, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
6:48:39 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: TANNER, ALAN KEVIN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4544 Primary Status: Current - Active

Address :
8089 Madison Ave
Suite 2
CITRUS HEIGHTS CA 95610-7964
SACRAMENTO COUNTY

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