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Licensing details for: 51647

Name: SAISHO, KENJI BENNET

License Type: Dentist

Primary Status: Current - Active

Previous Names: SAISHO, KENJI B

Address of Record

633 ALVIN DRIVE #B
SALINAS CA 93906
MONTEREY county
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Issuance Date

August 27, 2003

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
3:11:17 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: KENJI B. SAISHO, DDS

License/Registration Type: Additional Office Permit

License Number: 9434 Primary Status: Cancelled

Address :
1717 FREMONT BLVD.
SEASIDE CA 93955
MONTEREY COUNTY

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AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: GREGORY L DENTON, ROGER G SANGER, RAY E STEWART,

License/Registration Type: Additional Office Permit

License Number: 8250 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5563 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S SANGER, STEWART,

License/Registration Type: Fictitious Name Permit

License Number: 4869 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5565 Primary Status: Cancelled

Address :
633 E ALVIN DR, STE B
SALINAS CA 93906
MONTEREY 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: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5563 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

Map

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: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5565 Primary Status: Cancelled

Address :
633 E ALVIN DR, STE B
SALINAS CA 93906
MONTEREY COUNTY

Map

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: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S SANGER, STEWART,

License/Registration Type: Fictitious Name Permit

License Number: 4869 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

Map

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: SAISHO, KENJI BENNET

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 630 Primary Status: Cancelled

Address :
633 E Alvin Dr
SALINAS CA 93906-3000
MONTEREY COUNTY

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OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: SAISHO, KENJI BENNET

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4526 Primary Status: Current - Active

Address :
633 E. ALVIN DRIVE
SALINAS CA 93906
MONTEREY COUNTY

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PMS 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: Pediatric Minimal Sedation Permit

Name: SAISHO, KENJI BENNET

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 49 Primary Status: Current - Active

Address :
633 E. ALVIN DRIVE
SALINAS CA 93906
MONTEREY COUNTY

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