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Licensing details for: 1415

Name: GUASTELLA, LUCILLE JOY

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

40 DARTMOUTH PLACE
DANVILLE CA 94526
CONTRA COSTA county
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Issuance Date

June 17, 2008

Expiration Date

January 31, 2024

Current Date / Time

December 13, 2025
4:46:21 PM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: GUASTELLA, LUCILLE JOY

License/Registration Type: Dentist License

License Number: 31620 Primary Status: Current - Active

Address :
40 DARTMOUTH PLACE
DANVILLE CA 94526
CONTRA COSTA COUNTY

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