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Licensing details for: 28

Name: WANG, SU-MIN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

24541 PACIFIC PARK DR STE 104
ALISO VIEJO CA 92656
ORANGE county
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Issuance Date

November 6, 2000

Expiration Date

December 31, 2016

Current Date / Time

June 22, 2025
5:33:4 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: WANG, SU-MIN

License/Registration Type: Dentist License

License Number: 36030 Primary Status: Cancelled

Address :
24541 PACIFIC PARK DR STE 104
ALISO VIEJO CA 92656
ORANGE COUNTY

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