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Licensing details for: 4530

Name: LAM, DENISE C

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

2738 38th Ave
SAN FRANCISCO CA 94116-2858
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Practice Location

927 Reserve Dr Ste B
ROSEVILLE CA 95678-1383
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Issuance Date

December 17, 2024

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
2:14:17 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: LAM, DENISE C

License/Registration Type: Dentist License

License Number: 105026 Primary Status: Current - Active

Address :
6500 Lonetree Blvd
ROCKLIN CA 95765-5874
SAN FRANCISCO COUNTY

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