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Licensing details for: 1085

Name: BAKER, RYAN B

License Type: Conscious Sedation

Primary Status: Cancelled

Previous Names: BAKER, RYAN BAKHSHI

Address of Record

42210 Lyndie Ln
100
TEMECULA CA 92591-3604
RIVERSIDE county
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Practice Location

42210 Lyndie Ln
Suite 100
TEMECULA CA 92591-3604
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Issuance Date

January 18, 2017

Expiration Date

November 8, 2017

Current Date / Time

April 16, 2026
12:52:41 PM

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: BAKER, RYAN B

License/Registration Type: Dentist License

License Number: 64066 Primary Status: Current - Active

Address :
25906 Newport Rd
Suite 101
MENIFEE CA 92584
RIVERSIDE COUNTY

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