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Licensing details for: 3808

Name: SIBHATU, MUSSIE TEKLE

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

3630 MACARTHUR BLVD
OAKLAND CA 94619
ALAMEDA county
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Issuance Date

September 20, 2018

Expiration Date

September 30, 2026

Current Date / Time

April 3, 2026
7:30:13 PM

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: SIBHATU, MUSSIE TEKLE

License/Registration Type: Dentist License

License Number: 59276 Primary Status: Current - Active

Address :
3630 MacArthur Blvd
OAKLAND CA 94619-1328
ALAMEDA COUNTY

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