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Licensing details for: 52501

Name: TAKANO, ROBERT YOSHIO

License Type: Dentist

Primary Status: Current - Active

Address of Record

PO BOX 1333
SOLANA BEACH CA 92075-7333
SAN DIEGO county
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Practice Location

153 S SIERRA AVE
UNIT 1333
SOLANA BEACH CA 92075-9998
SAN DIEGO county
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Issuance Date

May 5, 2004

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
2:28:27 PM

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: TAKANO, ROBERT YOSHIO

License/Registration Type: Conscious Sedation Permit

License Number: 907 Primary Status: Cancelled

Address :
PO BOX 1333
SOLANA BEACH CA 92075-7333
SAN DIEGO 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: LA JOLLA HEALTH SERVICES DENTAL PRACTICE OF ROBERT TAKANO DDS

License/Registration Type: Fictitious Name Permit

License Number: 16864 Primary Status: Expired

Address :
13340 BARBADOS WAY
DEL MAR CA 92014
SAN DIEGO COUNTY

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