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Licensing details for: 1452

Name: RAWLINS, JOSEPH T

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: CHUA, SHIUBEI CHUA

Address of Record

3868 DELWOOD DRIVE
POWELL OH 43065
DELAWARE county
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Issuance Date

August 18, 2008

Expiration Date

November 30, 2009

Current Date / Time

June 7, 2025
7:10:1 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SURFSIDE KIDS DENTAL GROUP, T LYONS & J RAWLINS, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 14110 Primary Status: Current - Active

Address :
7806 MADISON AVE # 200
FAIR OAKS CA 95638
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SURFSIDE KIDS DENTAL PRACTICE OF JOSEPH RAWLINS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17412 Primary Status: Current - Active

Address :
5010 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER

License/Registration Type: Fictitious Name Permit

License Number: 13593 Primary Status: Cancelled

Address :
230 GREEN VALLEY RD
FREEDOM CA 95019
SANTA CRUZ COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEDIATRIC DENTAL SPECIALISTS, DENTAL PRACTICE, JOSEPH T RAWLINS,

License/Registration Type: Fictitious Name Permit

License Number: 7856 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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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: RAWLINS, JOSEPH T

License/Registration Type: Dentist License

License Number: 56958 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD.
SUITE #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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