Heritage Oak Dental, Practice of Shane Douglas, Dds PC
ExpiredCalifornia license 10413
License
- Licensed by
- Dental Board of California
- License number
- 10413
- Status
- Expired (Delinquent)
- First issued
- April 30, 2013
- Expired
- April 30, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Douglas Shane (61439)
Contact
3700 Atherton Road
Rocklin, CA 95765
Rocklin, CA 95765
Placer County