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Licensing details for: 2889

Name: SHAFFER, ADAM MATTHEW

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

3647 Perada Dr
WALNUT CREEK CA 94598-2743
CONTRA COSTA county
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Issuance Date

February 11, 2013

Expiration Date

November 30, 2024

Current Date / Time

June 6, 2025
2:21:26 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: SHAFFER, ADAM MATTHEW

License/Registration Type: Dentist License

License Number: 59593 Primary Status: Current - Active

Address :
3449 Valle Verde Dr
NAPA CA 94558-2414

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