Dental Board of California
Licensing details for: 584
Name: SULLIVAN, GRACIELA KUATA
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
5112 WARNER AVENUE 104
HUNTINGTON BEACH CA 92649
ORANGE 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: SULLIVAN, GRACIELA KUATA
License/Registration Type: Dentist License
License Number: 50535 Primary Status: Current - Active
Address :
5112 WARNER AVE STE 104
HUNTINGTON BEACH CA 92649
ORANGE COUNTY
