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Licensing details for: 2822

Name: LEE, JEFF

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4944 Windplay Dr
St300
EL DORADO HILLS CA 95762-9688
SISKIYOU county
Map

Practice Location

4944 Windplay Dr
St300
EL DORADO HILLS CA 95762-9688
Map

Issuance Date

September 19, 2012

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
10:27:7 PM

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: LEE, JEFFEREY SZEAN

License/Registration Type: Dentist License

License Number: 48946 Primary Status: Current - Active

Address Not Disclosed

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