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Licensing details for: 61

Name: JING, LIN

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

9630 BRUCEVILLE ROAD SUITE 102
ELK GROVE CA 95757
SACRAMENTO county
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Practice Location

9630 BRUCEVILLE ROAD SUITE 102
ELK GROVE CA 95757
SACRAMENTO county
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Issuance Date

April 6, 2023

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
9:12:54 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: JING, LIN

License/Registration Type: Dentist License

License Number: 101366 Primary Status: Current - Active

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

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