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Licensing details for: 52782

Name: STRAW, JASON ADAM

License Type: Dentist

Primary Status: Current - Active

Previous Names: STRAW, JASON A

Address of Record

4420 TOWN CENTER BLVD # 250
EL DORADO HILLS CA 95762
EL DORADO county
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Issuance Date

October 28, 2004

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
8:11:46 AM

License Relationships

GA 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: General Anesthesia Permit

Name: STRAW, JASON ADAM

License/Registration Type: General Anesthesia Permit

License Number: 1458 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD. #250
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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