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Licensing details for: 101366

Name: JING, LIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

9630 Bruceville Rd
Unit 102
ELK GROVE CA 95757-5512
SACRAMENTO county
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Practice Location

9630 Bruceville Rd
Unit 102
ELK GROVE CA 95757-5512
SACRAMENTO county
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Issuance Date

May 20, 2017

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
6:55:4 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: JING, LIN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3794 Primary Status: Cancelled

Address :
4690 Natomas Blvd
ste 130
SACRAMENTO CA 95835-2230
RIVERSIDE COUNTY

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PMS to DDS or OMS or SP

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

Related Party Role: Pediatric Minimal Sedation Permit

Name: JING, LIN

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 61 Primary Status: Current - Active

Address :
9630 BRUCEVILLE ROAD SUITE 102
ELK GROVE CA 95757
SACRAMENTO COUNTY

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