Dental Board of California
Licensing details for: 3573
Name: COSTISEVSCHI, ROBERT BASIL
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
426 Constantine Ct
SAN RAMON CA 94583-3520
CONTRA COSTA county
Map
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: COSTISEVSCHI, ROBERT BASIL
License/Registration Type: Dentist License
License Number: 100501 Primary Status: Current - Active
Address :
426 Constantine Ct
SAN RAMON CA 94583-3520
CONTRA COSTA COUNTY
