Fountaingrove Oral Surgery Hedayati Dental Group
ActiveCalifornia license 12756
License
- Licensed by
- Dental Board of California
- License number
- 12756
- Status
- Active (Current)
- First issued
- April 11, 2016
- Expires
- July 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Hedayati Peyman (43017)
Contact
855 Fountaingrove Parkway, Suite 201
Santa Rosa, CA 95403
Santa Rosa, CA 95403
Sonoma County