Jiries Peter Mogannam, Dds
ActiveCalifornia license 11223
License
- Licensed by
- Dental Board of California
- License number
- 11223
- Status
- Active (Current)
- First issued
- October 9, 2013
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Mogannam Jiries (60191)
Contact
101 Lynch Creek Way Suite B
Petaluma, CA 94954
Petaluma, CA 94954
Sonoma County