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Licensing details for: 1617

Name: ALVARO, ALISA

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

345 Estudillo Avenue
Suite 205
SAN LEANDRO CA 94577
ALAMEDA county
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Issuance Date

September 23, 2008

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
4:32:35 AM

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

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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: ALVARO, ALISA

License/Registration Type: Dentist License

License Number: 39506 Primary Status: Current - Active

Address :
345 ESTUDILLO AVE
SUITE 205
SAN LEANDRO CA 94577
ALAMEDA COUNTY

Map

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