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Licensing details for: 504

Name: CLARK, ANTHONY AARON

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

535 N. AKERS ST.
VISALIA CA 93291
TULARE county
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Practice Location

535 N. AKERS ST.
VISALIA CA 93291
TULARE county
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Issuance Date

August 8, 2024

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:18:9 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: CLARK, ANTHONY AARON

License/Registration Type: Dentist License

License Number: 102890 Primary Status: Current - Active

Address :
535 N Akers St
VISALIA CA 93291-5173
TULARE COUNTY

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