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Licensing details for: 3019

Name: OMARI, TAREQ SAMIR

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4195 E SHIELDS AVE
FRESNO CA 93721
FRESNO county
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Issuance Date

November 22, 2013

Expiration Date

April 30, 2014

Current Date / Time

June 6, 2025
10:17:13 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: OMARI, TAREQ SAMIR

License/Registration Type: Dentist License

License Number: 49623 Primary Status: Current - Active

Address :
1230 S Mooney Blvd
VISALIA CA 93277-4436
TULARE COUNTY

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