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Licensing details for: 4544

Name: TANNER, ALAN KEVIN

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

8089 Madison Ave
Suite 2
CITRUS HEIGHTS CA 95610-7964
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Practice Location

8089 Madison Ave
Suite 2
CITRUS HEIGHTS CA 95610-7964
SACRAMENTO county
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Issuance Date

February 11, 2025

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
8:36:50 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: TANNER, ALAN KEVIN

License/Registration Type: Dentist License

License Number: 100876 Primary Status: Current - Active

Address :
8089 MADISON AVE, SUITE #2
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY

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