Dental Board of California
Licensing details for: 1415
Name: GUASTELLA, LUCILLE JOY
License Type: Oral Conscious Sedation
Primary Status: Expired
Specialty: Adult
Address of Record
40 DARTMOUTH PLACE
DANVILLE CA 94526
CONTRA COSTA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY, ERICKSON, SANTUCCI,
License/Registration Type: Fictitious Name Permit
License Number: 1455 Primary Status: Expired
Address :
345 ESTUDILLO AVENUE
SAN LEANDRO CA 94578
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY DENTAL GROUP ERICKSON,DDS ET AL
License/Registration Type: Fictitious Name Permit
License Number: 885 Primary Status: Cancelled
Address :
15051 HESPERIAN BLVD
SAN LEANDRO CA 94578
ALAMEDA COUNTY
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
