Riverside O.S. Dental Office of Daniel Petersen Dds, Inc.
ExpiredCalifornia license 10151
License
- Licensed by
- Dental Board of California
- License number
- 10151
- Status
- Expired (Delinquent)
- First issued
- October 4, 2012
- Expired
- June 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Petersen Daniel (57031)
Contact
316 Knollcrest Drive
Redding, CA 96002
Redding, CA 96002
Shasta County