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Licensing details for: 4493

Name: BECKER EDWARD JEROME DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

16130 MEDICAL CENTER DRIVE #110
MORGAN HILL CA 95037
SANTA CLARA county
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Issuance Date

July 15, 1988

Expiration Date

September 30, 1999

Current Date / Time

June 6, 2025
8:16:52 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: BECKER, EDWARD J

License/Registration Type: Dentist License

License Number: 14549 Primary Status: Expired

Address :
15600 WASHINGTON AVENUE
SAN LORENZO CA 94580
ALAMEDA COUNTY

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