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Licensing details for: 63414

Name: RAPPAHAHN, JACQUELINE NGUYEN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: NGUYEN, JACQUELINE

Address of Record

619 Alder St
PACIFIC GROVE CA 93950-3903
MONTEREY county
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Practice Location

1045 Los Palos Dr
SALINAS CA 93901-3916
MONTEREY county
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Issuance Date

May 29, 2014

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
7:50:7 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: RAPPAHAHN, JACQUELINE NGUYEN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3543 Primary Status: Cancelled

Address :
18883 BELLGROVE CIRCLE
SARATOGA CA 95070
SANTA CLARA COUNTY

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