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Licensing details for: 2706

Name: PUNG-YAMATO, CHONG PEI NIKKI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: PUNG-YAMATO, CHONG PEI

Address of Record

2 ALIDA CT
OAKLAND CA 94602
ALAMEDA county
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Issuance Date

January 26, 2012

Expiration Date

May 31, 2023

Current Date / Time

June 14, 2026
5:50:29 PM

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: PUNG-YAMATO, CHONG PEI NIKKI

License/Registration Type: Dentist License

License Number: 60977 Primary Status: Current - Active

Address :
2 ALIDA CT
OAKLAND CA 94602
ALAMEDA COUNTY

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