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Licensing details for: 809

Name: LEWIS, MICHAEL KEVIN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Previous Names: LEWIS, MICHAEL K

Address of Record

337 EL DORADO SUITE 3A
MONTEREY CA 93940
MONTEREY county
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Issuance Date

September 7, 1987

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:25:36 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: LEWIS, MICHAEL KEVIN

License/Registration Type: Dentist License

License Number: 29774 Primary Status: Current - Active

Address :
337 EL DORADO STREET
SUITE 3-A
MONTEREY CA 93940
MONTEREY COUNTY

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