Casey Keisuke Shimane
ActiveCalifornia license 1196
License
- Licensed by
- Dental Board of California
- License number
- 1196
- Status
- Active (Current)
- First issued
- August 9, 2000
- Expires
- October 31, 2028
- License holder
- Casey Keisuke Shimane
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Shimane Casey (43658)
Other California licenses under this name
-
CA
ActiveCastro Valley, CAExpires Oct 31, 2028
Contact
20406 Redwood Road
Suite G
Castro Valley, CA 94546
Suite G
Castro Valley, CA 94546
Alameda County