License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PAUL T PEREZ, DDS
License/Registration Type: Additional Office Permit
License Number: 5136 Primary Status: Cancelled
Address :
2647 E. 14TH STREET #101
OAKLAND CA 94601
ALAMEDA COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PAUL T PEREZ, DDS
License/Registration Type: Additional Office Permit
License Number: 5137 Primary Status: Cancelled
Address :
117 HILLSDALE MALL
SAN MATEO CA 94609
SAN MATEO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HILLSDALE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2434 Primary Status: Cancelled
Address :
360 HILLSDALE MALL
SAN MATEO CA 94403
SAN MATEO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HILLSDALE DENTAL GROUP, ROBERT RIDEAU, DDS
License/Registration Type: Fictitious Name Permit
License Number: 1457 Primary Status: Cancelled
Address :
360 HILLSDALE MALL
SAN MATEO CA 94403
SAN MATEO COUNTY
