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Licensing details for: 907

Name: TAKANO, ROBERT YOSHIO

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

PO BOX 1333
SOLANA BEACH CA 92075-7333
SAN DIEGO county
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Issuance Date

October 14, 2014

Expiration Date

December 31, 2024

Current Date / Time

June 6, 2025
1:50:47 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: TAKANO, ROBERT YOSHIO

License/Registration Type: Dentist License

License Number: 52501 Primary Status: Current - Active

Address :
153 S SIERRA AVE
UNIT 1333
SOLANA BEACH CA 92075-9998
SAN DIEGO COUNTY

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