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Licensing details for: 51974

Name: MINTER, ILIEN JIMENEZ

License Type: Dentist

Primary Status: Current - Active

Previous Names: MINTER, LLIEN JIMENEZ MINTER, LLIEN J

Address of Record

785 Grand Ave Ste 206
Suite 206
CARLSBAD CA 92008-2370
SAN DIEGO county
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Practice Location

785 Grand Ave Ste 206
CARLSBAD CA 92008-2370
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Issuance Date

December 3, 2003

Expiration Date

February 28, 2026

Current Date / Time

December 13, 2025
11:42:12 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: MINTER, ILIEN JIMENEZ

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 1063 Primary Status: Current - Active

Address :
785 Grand Ave Ste 206
Suite 206
CARLSBAD CA 92008-2370
SAN DIEGO COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: AMES, ANNA JO

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 759 Primary Status: Current - Active

Address Not Disclosed

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