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Licensing details for: 59593

Name: SHAFFER, ADAM MATTHEW

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3647 PERADA DRIVE
WALNUT CREEK CA 94598
CONTRA COSTA county
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Practice Location

3449 Valle Verde Dr
NAPA CA 94558-2414
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Issuance Date

August 5, 2010

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
2:51:33 AM

License Relationships

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: SHAFFER, ADAM MATTHEW

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2889 Primary Status: Cancelled

Address :
3647 Perada Dr
WALNUT CREEK CA 94598-2743
CONTRA COSTA COUNTY

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