Dental Board of California
Licensing details for: 57725
Name: ANDERSON, SHAWN RAY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
25109 JEFFERSON AVE, SUITE 220
MURRIETA CA 92562
RIVERSIDE county
Map
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: ANDERSON, SHAWN RAY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4442 Primary Status: Current - Active
Address :
25109 JEFFERSON AVE. SUITE 220
MURRIETA CA 92562
RIVERSIDE COUNTY
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: ANDERSON, SHAWN RAY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3417 Primary Status: Cancelled
Address :
25109 Jefferson Ave Suite 220
MURRIETA CA 92562
RIVERSIDE COUNTY
