Dental Board of California
Licensing details for: 198
Name: VANDERSLOOT, RALPH PETER
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
5700 STONERIDGE MALL ROAD #290
PLEASANTON CA 94588
ALAMEDA county
Map
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: VANDERSLOOT, RALPH PETER
License/Registration Type: Dentist License
License Number: 22301 Primary Status: Expired
Address :
5700 STONERIDGE MALL RD
SUITE 290
PLEASANTON CA 94566
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY DENTAL GROUP ERICKSON,DDS ET AL
License/Registration Type: Fictitious Name Permit
License Number: 885 Primary Status: Cancelled
Address :
15051 HESPERIAN BLVD
SAN LEANDRO CA 94578
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATIVE DIMENSIONS IN DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 838 Primary Status: Cancelled
Address :
250 JUANA AVENUE
SAN LEANDRO CA 94577
ALAMEDA COUNTY
