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Licensing details for: 2134

Name: PICCOLOTTI, DEBBY ANN

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

86 Prospect Ave
SAUSALITO CA 94965-2304
MARIN county
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Issuance Date

January 19, 2010

Expiration Date

February 28, 2023

Current Date / Time

June 6, 2025
2:16:48 AM

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: PICCOLOTTI, DEBBY ANN

License/Registration Type: Dentist License

License Number: 45173 Primary Status: Expired

Address :
86 PROSPECT AVE
SAUSALITO CA 94965
MARIN COUNTY

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