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Licensing details for: 4015

Name: RICE, MICHAEL ROBERT

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

71 Vasto St
RANCHO MISSION VIEJO CA 92694-1581
ORANGE county
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Practice Location

110 Civic Center Dr Ste 102
VISTA CA 92084-6058
SAN DIEGO county
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Issuance Date

June 18, 2020

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
2:13:32 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: RICE, MICHAEL ROBERT

License/Registration Type: Dentist License

License Number: 103302 Primary Status: Current - Active

Address :
71 Vasto St
RANCHO MISSION VIEJO CA 92694-1581
ORANGE COUNTY

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