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Licensing details for: 2674

Name: WINSLOW, JERON PHILLIP

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4000 Truxel Rd
STE. 2
SACRAMENTO CA 95834-3726
SACRAMENTO county
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Issuance Date

November 17, 2011

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
5:7:18 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE GROVE FAMILY DENTAL DENTAL OFFICE OF DR. JERON WINSLOW

License/Registration Type: Fictitious Name Permit

License Number: 15512 Primary Status: Expired

Address :
10043 BRUCEVILLE ROAD, UNIT 160
ELK GROVE CA 95757
SACRAMENTO 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: WINSLOW, JERON PHILLIP

License/Registration Type: Dentist License

License Number: 57368 Primary Status: Current - Active

Address :
4000 Truxel Rd Ste 2
SACRAMENTO CA 95834-3726
SACRAMENTO COUNTY

Map

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