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Licensing details for: 2127

Name: JING, WILSON SHUAIWEN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

3400 BOB WILSON DRIVE
ORAL SURGERY STE 206
SAN DIEGO CA 92134
SAN DIEGO county
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Practice Location

3400 Bob Wilson Drive
Oral Surgergy Ste 206
SAN DIEGO CA 92134-0001
SAN DIEGO county
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Issuance Date

February 15, 2023

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
10:18:35 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: JING, WILSON SHUAIWEN

License/Registration Type: Dentist License

License Number: 62950 Primary Status: Current - Active

Address :
Dental Clinic - McRd San Diego
43000 Midway Dr, Bldg 595
SAN DIEGO CA 92140-0001
SAN DIEGO COUNTY

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