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Licensing details for: 39474

Name: SAUER, KIMBERLY DIANE

License Type: Dentist

Primary Status: Current - Active

Address of Record

11285 Carroza Ct
SAN DIEGO CA 92124-2210
SAN DIEGO county
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Issuance Date

July 26, 1991

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
8:5:47 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: SAUER, KIMBERLY DIANE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 99 Primary Status: Cancelled

Address :
11285 Carroza Ct
SAN DIEGO CA 92124-2210
SAN DIEGO COUNTY

Map

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: SAUER, KIMBERLY DIANE

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 166 Primary Status: Current - Active

Address :
5627 OBERLIN DRIVE SUITE 100
SAN DIEGO CA 92121
SAN DIEGO COUNTY

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