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Licensing details for: 1665

Name: PAZ CASANOVA, RODY

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Previous Names: CASANOVA, RODY PAZ PAZ, RODY

Address of Record

2313 MEADOW GLEN STREET
UPLAND CA 91784
SAN BERNARDINO county
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Issuance Date

September 30, 2008

Expiration Date

September 30, 2010

Current Date / Time

June 5, 2026
5:41:56 PM

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: PAZ CASANOVA, RODY

License/Registration Type: Dentist License

License Number: 50970 Primary Status: Current - Active

Address :
10728 RAMONA BLVD #D
EL MONTE CA 91731
LOS ANGELES COUNTY

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