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Licensing details for: 103490

Name: LESTER, ANASTASIA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1179 N McDowell Blvd
Attn: Dental Clinic - Anastasia Lester
PETALUMA CA 94954-6559
SONOMA county
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Practice Location

1179 N McDowell Blvd
PETALUMA CA 94954-6559
SONOMA county
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5900 State Farm Dr
2nd Floor
ROHNERT PARK CA 94928-2149
SONOMA county
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Issuance Date

January 22, 2019

Expiration Date

January 31, 2026

Current Date / Time

June 7, 2025
2:29:17 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PETALUMA GENERAL DENTISTRY, DENTAL GROUP OF ANASTASIA LESTER, DDS LESTER DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15938 Primary Status: Expired

Address :
135 KELLER STREET SUITE F
PETALUMA CA 94952-2943
SONOMA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: PETALUMA GENERAL DENTISTRY, DENTAL GROUP OF ANASTASIA LESTER, DDS LESTER DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15938 Primary Status: Expired

Address :
135 KELLER STREET SUITE F
PETALUMA CA 94952-2943
SONOMA COUNTY

Map

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