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Licensing details for: 4273

Name: ANTONIO, JASON CLAY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

28080 Clinton Keith Rd
STE 100
MURRIETA CA 92563
RIVERSIDE county
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Practice Location

28080 Clinton Keith Rd
STE 100
MURRIETA CA 92563-4552
RIVERSIDE county
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Issuance Date

June 9, 2022

Expiration Date

October 31, 2027

Current Date / Time

December 13, 2025
8:38:52 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: ANTONIO, JASON CLAY

License/Registration Type: Dentist License

License Number: 59169 Primary Status: Current - Active

Address :
28080 Clinton Keith Rd
STE 100
MURRIETA CA 92563-4552
RIVERSIDE COUNTY

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