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Licensing details for: 62950

Name: JING, WILSON SHUAIWEN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

905 North Rd
BELMONT CA 94002-2031
SAN MATEO county
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Contract Location

102 Albany Dr
JACKSONVILLE NC 28540-4009
ONSLOW county
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Practice Location

Dental Clinic - McRd San Diego
43000 Midway Dr, Bldg 595
SAN DIEGO CA 92140-0001
SAN DIEGO county
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Issuance Date

September 9, 2013

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
8:28:17 PM

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: JING, WILSON SHUAIWEN

License/Registration Type: General Anesthesia Permit

License Number: 2127 Primary Status: Current - Active

Address :
3400 Bob Wilson Drive
Oral Surgergy Ste 206
SAN DIEGO CA 92134-0001
SAN DIEGO COUNTY

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