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Licensing details for: 4070

Name: PETROVSKA, ANASTASIYA

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

7761 APTOS CIRCLE
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Practice Location

10357 FAIRWAY DR, STE 100
ROSEVILLE CA 95678
PLACER county
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1259 PLEASANT GROVE BLVD, STE 100
ROSEVILLE CA 95747
PLACER county
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8630 SIERRA COLLEGE BLVD, STE 110
ROSEVILLE CA 95661
PLACER county
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911 RESERVE DR, STE 150
ROSEVILLE CA 95678
PLACER county
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Issuance Date

October 2, 2020

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
2:21:6 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: PETROVSKA, ANASTASIYA

License/Registration Type: Dentist License

License Number: 101845 Primary Status: Current - Active

Address :
1178 Villagio Dr
EL DORADO HILLS CA 95762-5528
SACRAMENTO COUNTY

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