Dental Board of California
Licensing details for: 42387
Name: OKUMURA, WESLEY KENT
License Type: Dentist
Primary Status: Current - Active
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: OKUMURA, WESLEY KENT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1152 Primary Status: Cancelled
Address :
44100 D Jefferson St
Ste 404
INDIO CA 92201
RIVERSIDE COUNTY
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: OKUMURA, WESLEY KENT
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 82 Primary Status: Current - Active
Address :
11092 ANDERSON ST. RM 3301
LOMA LINDA CA 92350
SAN BERNARDINO COUNTY
