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Licensing details for: 2270

Name: MILLER, MICHAEL JAMES

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

2775 VIA DE LA VALLE
STE #101
DEL MAR CA 92014
SAN DIEGO county
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Issuance Date

April 6, 2010

Expiration Date

November 30, 2016

Current Date / Time

December 13, 2025
9:49:57 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: MILLER, MICHAEL JAMES

License/Registration Type: Dentist License

License Number: 44216 Primary Status: Current - Active

Address :
2775 Via De La Valle
STE 101
DEL MAR CA 92014-1919
SAN DIEGO COUNTY

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