Dental Board of California
Licensing details for: 103464
Name: BASTA, HANY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: BASTA, HANY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4205 Primary Status: Cancelled
Address :
853 Plumas St
YUBA CITY CA 95991-4010
SUTTER COUNTY
