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Licensing details for: 1455

Name: CREATIVE DIMENSIONS IN DENTISTRY, ERICKSON, SANTUCCI,

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

345 ESTUDILLO AVENUE
SAN LEANDRO CA 94578
ALAMEDA county
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Issuance Date

August 30, 1996

Expiration Date

July 31, 2022

Current Date / Time

June 6, 2025
2:15:5 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GUASTELLA, LUCILLE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GUASTELLA, LUCILLE JOY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SANTUCCI, EUGENE THOMAS

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MAASS, ROBERT

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MACKENZIE, GEORGE DAVID

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SANTUCCI, EUGENE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ERICKSON, MICHAEL J

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MACKENZIE, GEORGE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ERICKSON, MICHAEL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GRIGGS, REGINALD ARNOLD

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MAASS, ROBERT MICHAEL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ALVARO, ALISA

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GRIGGS, REGINALD

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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FNP to DDS or OMS

License/Registration Role: Fictitious Name 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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