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Licensing details for: 3150

Name: SEWELL, JEREMY JAY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

29740 Rancho California Rd
#100
TEMECULA CA 92591-5200
RIVERSIDE county
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Issuance Date

April 10, 2014

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
1:59:0 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ETHOS ADVANCED DENTAL CARE DENTAL PRACTICE OF JEREMY JAY SEWELL DMD PC

License/Registration Type: Fictitious Name Permit

License Number: 17924 Primary Status: Current - Active

Address :
29740 RANCHO CALIFORNIA RD #100
TEMECULA CA 92591
RIVERSIDE COUNTY

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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: SEWELL, JEREMY JAY

License/Registration Type: Dentist License

License Number: 58606 Primary Status: Current - Active

Address :
29740 Rancho California Rd
100
TEMECULA CA 92591-5200
RIVERSIDE COUNTY

Map

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