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Licensing details for: 739

Name: EL FARRA, MOHAMMAD YAZEED

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: EL FARRA, MOHAMMAD

Address of Record

1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN county
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Issuance Date

October 5, 2004

Expiration Date

August 31, 2023

Current Date / Time

June 7, 2025
4:43:44 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: EL FARRA, MOHAMMAD YAZEED

License/Registration Type: Dentist License

License Number: 51062 Primary Status: Current - Active

Address :
1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN COUNTY

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