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Licensing details for: 2028

Name: SHAH, AMIT ASHOK

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

18377 Beach Blvd Ste 216
HUNTINGTON BEACH CA 92648-1349
ORANGE county
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Issuance Date

October 14, 2009

Expiration Date

April 30, 2023

Current Date / Time

December 13, 2025
7:59:4 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: SHAH, AMIT ASHOK

License/Registration Type: Dentist License

License Number: 58240 Primary Status: Current - Active

Address :
18377 Beach Blvd Ste 216
HUNTINGTON BEACH CA 92648-1349
ORANGE COUNTY

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