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Licensing details for: 9164

Name: NAKAKI DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

360 HILLSDALE MALL
SAN MATEO CA 94403
SAN MATEO county
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Issuance Date

September 11, 2006

Expiration Date

May 31, 2007

Current Date / Time

June 6, 2025
11:25:32 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: 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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