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Licensing details for: 62530

Name: PEDDIREDDY, DIVYA REDDY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

184 STONECLIFFE AISLE
IRVINE CA 92603
ORANGE county
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Issuance Date

July 2, 2013

Expiration Date

February 28, 2026

Current Date / Time

June 7, 2025
8:1:0 AM

License Relationships

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: PEDDIREDDY, DIVYA REDDY

License/Registration Type: Moderate Sedation Permit

License Number: 430 Primary Status: Current - Active

Address :
3070 BRISTOL STREE, SUITE 180
COSTA MESA CA 92626
ORANGE COUNTY

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