License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: VAN HOFF, MYRA REBECCA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4101 Primary Status: Expired
Address :
5492 N. Palm Ave. Suite B
FRESNO CA 93704
FRESNO COUNTY
