Dental Board of California
Licensing details for: 4205
Name: BASTA, HANY
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
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: BASTA, HANY
License/Registration Type: Dentist License
License Number: 103464 Primary Status: Current - Active
Address :
853 Plumas St
YUBA CITY CA 95991-4010
YUBA COUNTY
