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Licensing details for: 1938

Name: SIMEL, OR

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

1453 YUKON DR
SUNNYVALE CA 94087
SANTA CLARA county
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Practice Location

2103 McHenry Ave
St C
MODESTO CA 95350-3263
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2683 Naglee Rd
110
TRACY CA 95304-7317
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3601 Pelandale Ave
ste D-1
MODESTO CA 95356-9808
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Issuance Date

July 1, 2019

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
10:7:46 PM

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: SIMEL, OR

License/Registration Type: Dentist License

License Number: 63216 Primary Status: Current - Active

Address :
1453 YUKON DRIVE
SUNNYVALE CA 94087
SANTA CLARA COUNTY

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