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Licensing details for: 59750

Name: FRANDSEN, PETER SHIGEKI

License Type: Dentist

Primary Status: Expired Primary Status Definition

Secondary Status: Licensure by Residency

Address of Record

12324 Oak Knoll Rd
POWAY CA 92064-5320
SAN DIEGO county
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Practice Location

12324 Oak Knoll Rd
POWAY CA 92064-5320
SAN DIEGO county
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Issuance Date

August 25, 2010

Expiration Date

October 31, 2021

Current Date / Time

June 6, 2025
11:15:28 PM

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: FRANDSEN, PETER SHIGEKI

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3637 Primary Status: Cancelled

Address :
12324 Oak Knoll Rd
POWAY CA 92064-5320

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