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Licensing details for: 5878

Name: ERICKSON,SANTUCCI,MAASS,MACKENZIE,GRIGGS,GUASTELLA & ALVARO

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

345 ESTUDILLO AVE.
SAN LEANDRO CA 94577
ALAMEDA county
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Issuance Date

January 30, 1998

Expiration Date

July 31, 2014

Current Date / Time

June 6, 2025
11:39:22 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: ALVARO, ALISA

License/Registration Type: Dentist License

License Number: 39506 Primary Status: Current - Active

Address :
345 ESTUDILLO AVE
SUITE 205
SAN LEANDRO CA 94577
ALAMEDA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: ERICKSON, MICHAEL J

License/Registration Type: Dentist License

License Number: 19278 Primary Status: Cancelled

Address :
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: MAASS, ROBERT MICHAEL

License/Registration Type: Dentist License

License Number: 25419 Primary Status: Expired

Address :
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: MACKENZIE, GEORGE DAVID

License/Registration Type: Dentist License

License Number: 30605 Primary Status: Expired

Address :
3215 Gold Ct
LAFAYETTE CA 94549-5405
CONTRA COSTA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: GRIGGS, REGINALD ARNOLD

License/Registration Type: Dentist License

License Number: 31619 Primary Status: Current - Active

Address :
20265 Lake Chabot Rd
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: GUASTELLA, LUCILLE JOY

License/Registration Type: Dentist License

License Number: 31620 Primary Status: Current - Active

Address :
40 DARTMOUTH PLACE
DANVILLE CA 94526
CONTRA COSTA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SANTUCCI, EUGENE THOMAS

License/Registration Type: Dentist License

License Number: 23141 Primary Status: Current - Active

Address :
245 LOWELL ST
REDWOOD CITY CA 94062
SAN MATEO COUNTY

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