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Licensing details for: 2699

Name: BOSQUE, JUAN CARLOS

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

5514 BLOCH ST
SAN DIEGO CA 92122
SAN DIEGO county
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Issuance Date

January 9, 2012

Expiration Date

October 31, 2013

Current Date / Time

June 6, 2025
2:23:7 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: BOSQUE, JUAN CARLOS

License/Registration Type: Dentist License

License Number: 42723 Primary Status: Current - Active

Address :
5075 Ruffin Road
SUITE C
SAN DIEGO CA 92123
SAN DIEGO COUNTY

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