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Licensing details for: 5585

Name: PHILIP K. NISHINO, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: PHILIP K. NISHINO

Address of Record

2930 ABORN SQUARE
SAN JOSE CA 95121
SANTA CLARA county
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Issuance Date

December 28, 1995

Expiration Date

June 30, 2007

Current Date / Time

June 6, 2025
8:59:52 PM

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: NISHINO, PHILIP KATSUMI

License/Registration Type: Dentist License

License Number: 23941 Primary Status: Current - Active

Address :
104 Sunhaven Rd
DANVILLE CA 94506-1901
CONTRA COSTA COUNTY

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