License Directory

Peninsula Pediatric Dentistry and Orthodontics, Dental Office of

Expired

California license 11165

License

Licensed by
Dental Board of California
License number
11165
Status
Expired (Delinquent)
First issued
March 14, 2014
Expired
February 28, 2022
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Davis Tyler (61391)
Related
Spitz Charles (22672)

Contact

50 South San Mateo Drive
Suite 160
San Mateo, CA 94401
San Mateo County