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Licensing details for: 121

Name: KHIRIA, DIVIYA

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

960 SOMERSBY WAY
SACRAMENTO CA 95864
SACRAMENTO county
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Practice Location

1741 PROFESSIONAL DR.
SACRAMENTO CA 95825
SACRAMENTO county
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Issuance Date

April 5, 2023

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:17:7 AM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

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

Name: KHIRIA, DIVIYA

License/Registration Type: Dentist License

License Number: 61633 Primary Status: Current - Active

Address :
1741 Professional Dr
SACRAMENTO CA 95825-2104
SACRAMENTO COUNTY

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