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Licensing details for: 103302

Name: RICE, MICHAEL ROBERT

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

71 Vasto St
RANCHO MISSION VIEJO CA 92694-1581
ORANGE county
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Issuance Date

October 4, 2018

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
4:12:14 PM

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: RICE, MICHAEL ROBERT

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4015 Primary Status: Current - Active

Address :
110 Civic Center Dr Ste 102
VISTA CA 92084-6058
SAN DIEGO COUNTY

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