Dental Board of California
Licensing details for: 58013
Name: PETERSEN, MELISSA
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
3381 Bass Lake Rd
Unit 140
EL DORADO HILLS CA 95762-6633
EL DORADO county
Map
License Relationships
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: Dentists of El Dorado Hills, Dental Group of Dentists of El Dorado Hills, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20496 Primary Status: Current - Active
Address :
3381 Bass Lake Rd, Ste 140
EL DORADO HILLS CA 95762
