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Licensing details for: 60541

Name: CHUN, BRYCE CHRISTOPHER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

620 California Blvd
Suite L
SAN LUIS OBISPO CA 93401-2541
SAN LUIS OBISPO county
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Practice Location

620 California Blvd
Suite L
SAN LUIS OBISPO CA 93401-2541
SAN LUIS OBISPO county
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Issuance Date

July 13, 2011

Expiration Date

August 31, 2027

Current Date / Time

December 13, 2025
9:43:24 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: CHUN, BRYCE CHRISTOPHER

License/Registration Type: Conscious Sedation Permit

License Number: 1252 Primary Status: Cancelled

Address :
415 Alturas St
#6
YUBA CITY CA 95991-4144
SUTTER COUNTY

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MS 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: Moderate Sedation Permit

Name: CHUN, BRYCE CHRISTOPHER

License/Registration Type: Moderate Sedation Permit

License Number: 211 Primary Status: Current - Active

Address :
620 California Blvd
Suite L
SAN LUIS OBISPO CA 93401-2541
SAN LUIS OBISPO COUNTY

Map

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