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Licensing details for: 229

Name: BUZZELL, JORDAN NATHANIEL

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Practice Location

110 TOWNCENTER PKWY, SUITE A
SANTEE CA 92071
SAN DIEGO county
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Issuance Date

January 4, 2024

Expiration Date

December 31, 2027

Current Date / Time

December 14, 2025
2:43:43 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: BUZZELL, JORDAN NATHANIEL

License/Registration Type: Dentist License

License Number: 57219 Primary Status: Current - Active

Address :
110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO COUNTY

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