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Licensing details for: 3178

Name: WAGLE, ELKE MERYL

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1731 Cedar St
SANTA MONICA CA 90405-2723
LOS ANGELES county
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Issuance Date

April 10, 2014

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
10:22:22 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: WAGLE, ELKE MERYL

License/Registration Type: Dentist License

License Number: 63301 Primary Status: Current - Active

Address :
1731 Cedar St
SANTA MONICA CA 90405-2723
LOS ANGELES COUNTY

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