Dental Board of California
Licensing details for: 32613
Name: SHIBATA, WILLIAM HOWARD
License Type: Dentist
Primary Status: Expired
Address of Record
34-400 DATE PALM DRIVE
SUITE E
CATHEDRAL CITY CA 92234
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE BRACE CONNECTION DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1104 Primary Status: Cancelled
Address :
1468 INDUSTRIAL PARK DRIVE
REDLANDS CA 92373
SAN BERNARDINO 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: THE BRACE CONNECTION DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1104 Primary Status: Cancelled
Address :
1468 INDUSTRIAL PARK DRIVE
REDLANDS CA 92373
SAN BERNARDINO COUNTY
