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Licensing details for: 4526

Name: SAISHO, KENJI BENNET

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: SAISHO, KENJI B

Address of Record

23058 ESPADA CIRCLE
SALINAS CA 93908
MONTEREY county
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Practice Location

633 E. ALVIN DRIVE
SALINAS CA 93906
MONTEREY county
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Issuance Date

December 6, 2024

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
10:21:41 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5563 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S.

License/Registration Type: Fictitious Name Permit

License Number: 5565 Primary Status: Cancelled

Address :
633 E ALVIN DR, STE B
SALINAS CA 93906
MONTEREY COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DR'S SANGER, STEWART,

License/Registration Type: Fictitious Name Permit

License Number: 4869 Primary Status: Cancelled

Address :
945 BLANCO CIRCLE, STE D
SALINAS CA 93901
MONTEREY COUNTY

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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: SAISHO, KENJI BENNET

License/Registration Type: Dentist License

License Number: 51647 Primary Status: Current - Active

Address :
633 ALVIN DRIVE #B
SALINAS CA 93906
MONTEREY COUNTY

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