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Licensing details for: 2020

Name: DEAN, JENNIFER AYN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

1140 Malcolm Dixon Rd
EL DORADO HILLS CA 95762-3808
SACRAMENTO county
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Practice Location

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

September 22, 2020

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
1:58:31 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: DEAN, JENNIFER AYN

License/Registration Type: Dentist License

License Number: 64414 Primary Status: Current - Active

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

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