Dental Board of California
Licensing details for: 100501
Name: COSTISEVSCHI, ROBERT BASIL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Address of Record
426 Constantine Ct
SAN RAMON CA 94583-3520
CONTRA COSTA county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: COSTISEVSCHI, ROBERT BASIL
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3573 Primary Status: Cancelled
Address :
426 Constantine Ct
SAN RAMON CA 94583-3520
CONTRA COSTA COUNTY
