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Licensing details for: 2884

Name: SOMERVILLE, MATTHEW RYAN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1240 S WESTLAKE BL
STE 139
WESTLAKE VILLAGE CA 91361
VENTURA county
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Issuance Date

January 10, 2013

Expiration Date

March 31, 2015

Current Date / Time

June 6, 2025
10:15:14 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: SOMERVILLE, MATTHEW RYAN

License/Registration Type: Dentist License

License Number: 61864 Primary Status: Current - Active

Address :
1240 S Westlake Blvd
Ste 139
WESTLAKE VILLAGE CA 91361-1929
VENTURA COUNTY

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