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Licensing details for: 57952

Name: LE, TUAN ANH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: LE, TUAN ANTI

Address of Record

5340 Jackson Dr
LA MESA CA 91942-3040
SAN DIEGO county
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Issuance Date

November 21, 2008

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
4:33:25 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: LE, TUAN ANH

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2564 Primary Status: Cancelled

Address :
1121 N 44TH ST, #1009
PHOENIX AZ 85008
MARICOPA COUNTY

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