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Licensing details for: 1152

Name: OKUMURA, WESLEY KENT

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

29868 WATER STREET
HIGHLAND CA 92346
SAN BERNARDINO county
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Practice Location

44100 D Jefferson St
Ste 404
INDIO CA 92201
RIVERSIDE county
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Issuance Date

March 13, 2007

Expiration Date

June 30, 2023

Current Date / Time

June 6, 2025
2:22:14 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: OKUMURA, WESLEY KENT

License/Registration Type: Dentist License

License Number: 42387 Primary Status: Current - Active

Address :
44100 D JEFFERSON ST STE 404
INDIO CA 92201
RIVERSIDE COUNTY

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