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Licensing details for: 1635

Name: ANDERSON, PAUL B

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Previous Names: ANDERSON, PAUL

Address of Record

720 TURTLE CREST DRIVE
IRVINE CA 92603
ORANGE county
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Issuance Date

September 24, 2012

Expiration Date

August 31, 2014

Current Date / Time

June 6, 2025
10:19:10 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: ANDERSON, PAUL B

License/Registration Type: Dentist License

License Number: 44139 Primary Status: Current - Active

Address :
409 Catalina Dr
NEWPORT BEACH CA 92663-4105
ORANGE COUNTY

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