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Licensing details for: 45173

Name: PICCOLOTTI, DEBBY ANN

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

86 PROSPECT AVE
SAUSALITO CA 94965
MARIN county
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Issuance Date

April 28, 1998

Expiration Date

February 28, 2023

Current Date / Time

June 6, 2025
11:8:37 PM

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: PICCOLOTTI, DEBBY ANN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2134 Primary Status: Expired

Address :
86 Prospect Ave
SAUSALITO CA 94965-2304
MARIN COUNTY

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