License Directory

Shadowridge Orthodontics Dental Practice

Active

California license 1350

License

Licensed by
Dental Board of California
License number
1350
Status
Active (Current)
First issued
April 1, 1996
Expires
September 30, 2028
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Hennes Jerrold (34494)

Contact

1950 Shadowridge Drive #A
Vista, CA 92083
San Diego County