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Licensing details for: 82

Name: OKUMURA, WESLEY KENT

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

29868 WATER ST..
HIGHLAND CA 92346
SAN BERNARDINO county
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Practice Location

11092 ANDERSON ST. RM 3301
LOMA LINDA CA 92350
SAN BERNARDINO county
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Issuance Date

May 16, 2023

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
1:31:18 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: OKUMURA, WESLEY KENT

License/Registration Type: Dentist License

License Number: 42387 Primary Status: Current - Active

Address :
44100 D JEFFERSON ST STE 404
INDIO CA 92201
RIVERSIDE COUNTY

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