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Licensing details for: 594

Name: NAM, KYUNG PIL

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

2236 Arleen Way
SAN JOSE CA 95130-1903
SANTA CLARA county
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Practice Location

3779 E Castro Valley Blvd
CASTRO VALLEY CA 94552-4835
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6660 Lone Tree Way
7
BRENTWOOD CA 94513-5370
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6766 Bernal ave
560
PLEASANTON CA 94566
ALAMEDA county
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Issuance Date

November 22, 2024

Expiration Date

October 31, 2025

Current Date / Time

June 21, 2025
9:31:54 PM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

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

Name: NAM, KYUNG PIL

License/Registration Type: Dentist License

License Number: 106717 Primary Status: Current - Active

Address :
6766 Bernal Ave
560
PLEASANTON CA 94566-1233

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