Dental Board of California
Licensing details for: 58441
Name: PENAFLORIDA, NEIL GRANT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2878 Campus Pkwy
Ste 1
RIVERSIDE CA 92507-0966
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: PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80235 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15251 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
RIVERSIDE 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: CANYON SPRINGS DENTAL GROUP PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15251 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
