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Licensing details for: 3079

Name: CASTELLANOS, MARCO JAVIER

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

9725 SIERRA AVE
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

December 17, 2013

Expiration Date

November 30, 2022

Current Date / Time

December 13, 2025
9:49:13 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: CASTELLANOS, MARCO JAVIER

License/Registration Type: Dentist License

License Number: 62120 Primary Status: Current - Active

Address :
4910 Hamner Ave
Suite 110
EASTVALE CA 91752-1046
SAN BERNARDINO COUNTY

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