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Licensing details for: 2853

Name: MAUSETH, SPENCER EUGENE

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

16918 Dove Canyon Rd Ste 203
SAN DIEGO CA 92127-3457
SAN DIEGO county
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Issuance Date

October 31, 2012

Expiration Date

October 31, 2023

Current Date / Time

December 13, 2025
7:11:59 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: MAUSETH, SPENCER EUGENE

License/Registration Type: Dentist License

License Number: 61986 Primary Status: Current - Active

Address :
16918 Dove Canyon Rd
#203
SAN DIEGO CA 92127-3445
SAN DIEGO COUNTY

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