KAYAKO ISHIBASHI
Dentist


Address: 470 White Boroh Drive, River Vale, NJ 07675

KAYAKO ISHIBASHI (Credential# 1169366) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 9, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

KAYAKO ISHIBASHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010998. The credential type is dentist. The effective date is July 9, 2013. The expiration date is April 30, 2014. The business address is 470 White Boroh Drive, River Vale, NJ 07675. The current status is inactive.

Basic Information

Licensee Name KAYAKO ISHIBASHI
Credential ID 1169366
Credential Number 2.010998
Credential Type Dentist
Business Address 470 White Boroh Drive
River Vale
NJ 07675
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-09
Effective Date 2013-07-09
Expiration Date 2014-04-30
Refresh Date 2014-08-07

Office Location

Street Address 470 WHITE BOROH DRIVE
City RIVER VALE
State NJ
Zip Code 07675

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Competitor

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City RIVER VALE
Zip Code 07675
License Type Dentist
License Type + County Dentist + RIVER VALE

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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