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Licensing details for: 1067

Name: SWIMMER, RACHEL TANSIONGCO

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

2626 Illion St
SAN DIEGO CA 92110-2362
SAN DIEGO county
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Practice Location

555 S Rancho Santa Fe Rd
Suite 101
SAN MARCOS CA 92078-3698
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Issuance Date

September 2, 2016

Expiration Date

August 16, 2017

Current Date / Time

June 6, 2025
1:52:58 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: SWIMMER, RACHEL TANSIONGCO

License/Registration Type: Dentist License

License Number: 100593 Primary Status: Current - Active

Address :
1237 Half Moon Bay Dr
CHULA VISTA CA 91915-2111
SAN DIEGO COUNTY

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