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Licensing details for: 414

Name: STEWART, RAY EDWARD

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Previous Names: STEWART, RAY E

Address of Record

189 Summit Way
SAN FRANCISCO CA 94132-2949
SAN FRANCISCO county
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Practice Location

La Clinica Dental at Children'
s Hospital
4881 Telegraph Avenue
OAKLAND CA 94609
ALAMEDA county
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Issuance Date

May 20, 2025

Expiration Date

November 30, 2026

Current Date / Time

December 13, 2025
9:36:12 PM

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: STEWART, RAY EDWARD

License/Registration Type: Dentist License

License Number: 31535 Primary Status: Current - Active

Address :
1840 3RD STREET
SAN FRANCISCO CA 94143
SAN FRANCISCO COUNTY

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