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Licensing details for: 57808

Name: NELSON, DANIEL WAYNE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

305 SOUTH DRIVE
SUITE 8
MOUNTAIN VIEW CA 94040
SANTA CLARA county
Map

Issuance Date

October 10, 2008

Expiration Date

April 30, 2027

Current Date / Time

May 1, 2025
10:40:10 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: NELSON, DANIEL WAYNE

License/Registration Type: Conscious Sedation Permit

License Number: 1145 Primary Status: Cancelled

Address :
305 SOUTH DR STE 8
MOUNTAIN VIEW CA 94040
SANTA CLARA COUNTY

Map

MS 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: Moderate Sedation Permit

Name: NELSON, DANIEL WAYNE

License/Registration Type: Moderate Sedation Permit

License Number: 154 Primary Status: Current - Active

Address :
305 SOUTH DRIVE, SUITE 8
MOUNTAIN VIEW CA 94040
SANTA CLARA COUNTY

Map

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