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Licensing details for: 1196

Name: SHIMANE, CASEY KEISUKE

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

20406 REDWOOD ROAD
Suite G
CASTRO VALLEY CA 94546
ALAMEDA county
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Issuance Date

August 9, 2000

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
2:26:22 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SHIMANE, CASEY KEISUKE

License/Registration Type: Dentist License

License Number: 43658 Primary Status: Current - Active

Address :
20406 Redwood Rd Ste G
CASTRO VALLEY CA 94546-4317
ALAMEDA COUNTY

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