Dental Board of California
Licensing details for: 60977
Name: PUNG-YAMATO, CHONG PEI NIKKI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: PUNG-YAMATO, CHONG PEI
Address of Record
2 ALIDA CT
OAKLAND CA 94602
ALAMEDA county
Map
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: PUNG-YAMATO, CHONG PEI NIKKI
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2706 Primary Status: Cancelled
Address :
2 ALIDA CT
OAKLAND CA 94602
ALAMEDA COUNTY
