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Licensing details for: 1836

Name: ANDERSON, MELINDA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

25973 BROOKMERE AVENUE
LOMA LINDA CA 92354
SAN BERNARDINO county
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Issuance Date

January 12, 2009

Expiration Date

February 28, 2011

Current Date / Time

June 6, 2025
2:16:55 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: ANDERSON, MELINDA

License/Registration Type: Dentist License

License Number: 51227 Primary Status: Current - Active

Address :
25109 JEFFERSON AVE STE 220
MURRIETA CA 92562
RIVERSIDE COUNTY

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