Daniel Wayne Petersen
ActiveCalifornia license 2031
License
- Licensed by
- Dental Board of California
- License number
- 2031
- Status
- Active (Current)
- First issued
- April 22, 2021
- Expires
- June 30, 2027
- License holder
- Daniel Wayne Petersen
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Petersen Daniel (57031)
Other California licenses under this name
-
CA
ActivePlacerville, CAExpires Jun 30, 2027
Contact
3967 Missouri Flat Rd
Ste 120
Placerville, CA 95667-5250
Ste 120
Placerville, CA 95667-5250
El Dorado County