Dental Board of California
Licensing details for: 630
Name: SAISHO, KENJI BENNET
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: SAISHO, KENJI B
Address of Record
633 E Alvin Dr
SALINAS CA 93906-3000
MONTEREY county
Map
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
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
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
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
