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Licensing details for: 166

Name: SAUER, KIMBERLY DIANE

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

11285 CARROZA COURT
SAN DIEGO CA 92124
SAN DIEGO county
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Practice Location

5627 OBERLIN DRIVE SUITE 100
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

October 11, 2023

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
9:52:28 AM

License Relationships

PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: SAUER, KIMBERLY DIANE

License/Registration Type: Dentist License

License Number: 39474 Primary Status: Current - Active

Address :
11285 Carroza Ct
SAN DIEGO CA 92124-2210
SAN DIEGO COUNTY

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