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Licensing details for: 2607

Name: DOAN, ALFONSE

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4530 Lincoln Drive
CONCORD CA 94521
CONTRA COSTA county
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Issuance Date

July 15, 2011

Expiration Date

May 31, 2022

Current Date / Time

December 13, 2025
9:49:22 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: DOAN, ALFONSE

License/Registration Type: Dentist License

License Number: 60382 Primary Status: Current - Active

Address :
324 E 11th St
Suite E2
TRACY CA 95376-4071
CONTRA COSTA COUNTY

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