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Licensing details for: 3194

Name: KIM, JEKYONG JAY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

930 Sunnyslope Rd
Suite B-3
HOLLISTER CA 95023
SAN BENITO county
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Practice Location

930 Sunnyslope Rd
Suite B-3
HOLLISTER CA 95023
SAN BENITO county
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Issuance Date

April 30, 2014

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
2:20:11 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: KIM, JEKYONG JAY

License/Registration Type: Dentist License

License Number: 62259 Primary Status: Current - Active

Address :
930 Sunnyslope Rd
Suite B-3
HOLLISTER CA 95023
SAN BENITO COUNTY

Map

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