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Licensing details for: 61526

Name: KAISER, PHILIP WERNER

License Type: Dentist

Primary Status: Expired Primary Status Definition

Method of Application: Licensure by WREB

Address of Record

3722 Browns Point Blvd
TACOMA WA 98422-2056
PIERCE county
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Issuance Date

July 17, 2012

Expiration Date

September 30, 2020

Current Date / Time

June 22, 2025
1:9:54 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: KAISER, PHILIP WERNER

License/Registration Type: General Anesthesia Permit

License Number: 1626 Primary Status: Cancelled

Address :
3722 Browns Point Blvd
TACOMA WA 98422-2056
PIERCE COUNTY

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