Dental Board of California
Licensing details for: 37104
Name: FELICIANO, PETER PAUL REYNOLDS
License Type: Dentist
Primary Status: Current - Active
Previous Names: FELICIANO, PETER PAUL REYNOL
Address of Record
13373 Perris Blvd
SUITE D-306
MORENO VALLEY CA 92553-5441
RIVERSIDE county
Map
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: PETER PAUL R. FELICIANO, DDS
License/Registration Type: Additional Office Permit
License Number: 6172 Primary Status: Cancelled
Address :
7746 HAVEN AVENUE
RANCHO CUCAMONGA CA 91730
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: DR. FELICIANO'S SMILE HAVEN
License/Registration Type: Fictitious Name Permit
License Number: 2831 Primary Status: Cancelled
Address :
7746 HAVEN AVENUE
RANCHO CUCAMONGA CA 91730
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: FELICIANO FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1136 Primary Status: Cancelled
Address :
13373 PERRIS BLVD SUITE 306D
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
