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Licensing details for: 101450

Name: SAUZA, SAMUEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

431 W 13th Ave
Suite C
ESCONDIDO CA 92025-5782
SAN DIEGO county
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Issuance Date

June 22, 2017

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
8:15:25 AM

License Relationships

MS 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: Moderate Sedation Permit

Name: SAUZA, SAMUEL

License/Registration Type: Moderate Sedation Permit

License Number: 15 Primary Status: Current - Active

Address :
8008 Frost St
Unit 300
SAN DIEGO CA 92123-4205
SAN DIEGO COUNTY

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