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Licensing details for: 1971

Name: CHING, JASON STUART

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

889 DATE ST
UNIT 339
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

August 10, 2009

Expiration Date

September 30, 2014

Current Date / Time

June 6, 2025
2:22:7 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SUMMIT SMILES CHILDREN'S DENTISTRY, DENTAL OFFICE OF JASON S. CHI

License/Registration Type: Fictitious Name Permit

License Number: 10172 Primary Status: Current - Active

Address :
15218 SUMMIT AVNEUE, STE. 150
FONTANA CA 92336
SAN BERNARDINO 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: CHING, JASON STUART

License/Registration Type: Dentist License

License Number: 53202 Primary Status: Current - Active

Address :
15218 Summit Ave
STE 150
FONTANA CA 92336-0232
SAN BERNARDINO COUNTY

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