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Licensing details for: 62120

Name: CASTELLANOS, MARCO JAVIER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

9725 Sierra Ave
FONTANA CA 92335-6716
SAN BERNARDINO county
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Practice Location

4910 Hamner Ave
Suite 110
EASTVALE CA 91752-1046
SAN BERNARDINO county
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Issuance Date

January 4, 2013

Expiration Date

November 30, 2026

Current Date / Time

December 13, 2025
11:42:10 AM

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: CASTELLANOS, MARCO JAVIER

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3079 Primary Status: Cancelled

Address :
9725 SIERRA AVE
FONTANA CA 92335
SAN BERNARDINO COUNTY

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