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Licensing details for: 103138

Name: BEMBEY, KANIKA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6671 Agave Cir
CARLSBAD CA 92011-3617
SAN DIEGO county
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Issuance Date

August 23, 2018

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
9:45:53 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: BEMBEY, KANIKA

License/Registration Type: Conscious Sedation Permit

License Number: 1192 Primary Status: Cancelled

Address :
9640 BRUCEVILLE RD, STE. 101
ELK GROVE CA 95757
SACRAMENTO COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: ENCINITAS PERIODONTICS AND DENTAL IMPLANTS DENTAL PRACTICE OF DR. KANIKA BEMBEY

License/Registration Type: Fictitious Name Permit

License Number: 16678 Primary Status: Current - Active

Address :
477 N. EL CAMINO REAL C306
ENCINITAS CA 92024
SAN DIEGO COUNTY

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