
Dental Board of California
Licensing details for: 62530
Name: PEDDIREDDY, DIVYA REDDY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
184 STONECLIFFE AISLE
IRVINE CA 92603
ORANGE county
Map
License Relationships
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: PEDDIREDDY, DIVYA REDDY
License/Registration Type: Moderate Sedation Permit
License Number: 430 Primary Status: Current - Active
Address :
3070 BRISTOL STREE, SUITE 180
COSTA MESA CA 92626
ORANGE COUNTY