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Licensing details for: 1489

Name: KHAYAT, SAMI SHAKER

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

1670 Hillsdale Ave
10
SAN JOSE CA 95124-3241
SANTA CLARA county
Map

Practice Location

1670 Hillsdale Ave
10
1670 Hillsdale Ave, 10
SAN JOSE CA 95124-3241
SANTA CLARA county
Map

1670 hillsdale ave, suite 10
SAN JOSE CA 95124
SANTA CLARA county
Map

Issuance Date

June 17, 2009

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
11:12:21 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: KHAYAT, SAMI SHAKER

License/Registration Type: Dentist License

License Number: 54004 Primary Status: Current - Active

Address :
1670 hillsdale ave, suite 10
SAN JOSE CA 95124
SANTA CLARA COUNTY

Map

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