Dental Board of California
Licensing details for: 1211
Name: HENDRICKSON, RAYMOND HEATH
License Type: Conscious Sedation
Primary Status: Cancelled
Previous Names: Hendrickson, Raymond Heath
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: HENDRICKSON, RAYMOND HEATH
License/Registration Type: Dentist License
License Number: 104485 Primary Status: Current - Active
Address :
2230 N University Pkwy
Suite 8A
PROVO UT 84604
UTAH COUNTY
