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Licensing details for: 10289

Name: DENTAL CORPORATION OF ROBERT P. NAKAKI, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2600 SOUTH TRACY BOULEVARD
STE. 170
TRACY CA 95376
SAN JOAQUIN county
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Practice Location

2600 SOUTH TRACY BOULEVARD
TRACY CA 95376
SAN JOAQUIN county
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Issuance Date

September 28, 2010

Expiration Date

May 31, 2015

Current Date / Time

June 6, 2025
2:27:32 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: NAKAKI, ROBERT PAUL

License/Registration Type: Dentist License

License Number: 28963 Primary Status: Current - Active

Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN COUNTY

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