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Licensing details for: 101191

Name: YEE, DEXTER K

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6522 Lonetree Blvd
ROCKLIN CA 95765-5874
SACRAMENTO county
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Practice Location

6522 Lonetree Blvd
ROCKLIN CA 95765-5874
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Issuance Date

February 14, 2017

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
7:48:28 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LITTLE MARVELS PEDIATRIC DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 19370 Primary Status: Current - Active

Address :
1851 IRON POINT ROAD STE #200
FOLSOM CA 95630

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FNP to DDS or OMS

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

Related Party Role: Fictitious Name Permit

Name: LITTLE MARVELS PEDIATRIC DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 19370 Primary Status: Current - Active

Address :
1851 IRON POINT ROAD STE #200
FOLSOM CA 95630

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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: YEE, DEXTER K

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3677 Primary Status: Cancelled

Address :
6522 LONETREE BLVD
ROCKLIN CA 95765
PLACER COUNTY

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