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Licensing details for: 357

Name: LIN, WINSTON SUZTSE

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

9630 Bruceville Rd
102
ELK GROVE CA 95757-5512
SACRAMENTO county
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Issuance Date

September 26, 2024

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
6:38:20 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KID'S DENTIST DENTAL GROUP, LIN AND JOHAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17618 Primary Status: Current - Active

Address :
9630 BRUCEVILLE ROAD., SUITE 102
ELK GROVE CA 95757
SACRAMENTO COUNTY

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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: LIN, WINSTON SUZTSE

License/Registration Type: Dentist License

License Number: 60196 Primary Status: Current - Active

Address :
9630 Bruceville Rd
STE 102
ELK GROVE CA 95757-5512
SACRAMENTO COUNTY

Map

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