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Licensing details for: 64414

Name: DEAN, JENNIFER AYN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

911 Reserve Dr
#150
ROSEVILLE CA 95678-1343
PLACER county
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Issuance Date

April 7, 2015

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
10:32:46 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: DEAN, JENNIFER AYN

License/Registration Type: General Anesthesia Permit

License Number: 2020 Primary Status: Current - Active

Address :
911 Reserve Dr
#150
ROSEVILLE CA 95678-1343
PLACER COUNTY

Map

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