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Licensing details for: 43658

Name: SHIMANE, CASEY KEISUKE

License Type: Dentist

Primary Status: Current - Active

Address of Record

20406 Redwood Rd Ste G
CASTRO VALLEY CA 94546-4317
ALAMEDA county
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Issuance Date

August 9, 1996

Expiration Date

October 31, 2026

Current Date / Time

June 7, 2025
8:33:5 AM

License Relationships

GA to DDS or OMS or SP

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

Related Party Role: General Anesthesia Permit

Name: SHIMANE, CASEY KEISUKE

License/Registration Type: General Anesthesia Permit

License Number: 1196 Primary Status: Current - Active

Address :
20406 REDWOOD ROAD
Suite G
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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