Dental Board of California
Licensing details for: 50535
Name: SULLIVAN, GRACIELA KUATA
License Type: Dentist
Primary Status: Current - Active
Address of Record
5112 WARNER AVE STE 104
HUNTINGTON BEACH CA 92649
ORANGE 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: SULLIVAN, GRACIELA KUATA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 584 Primary Status: Cancelled
Address :
5112 WARNER AVENUE 104
HUNTINGTON BEACH CA 92649
ORANGE COUNTY
