Dental Board of California
Licensing details for: 1226
Name: MORAN, ALICE POLEY
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
1103 PANADERO
SAN CLEMENTE CA 92673
ORANGE county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: MORAN, ALICE POLEY
License/Registration Type: Dentist License
License Number: 48514 Primary Status: Expired
Address :
39788 CAMINO MICHANITO
INDIO CA 92203
RIVERSIDE COUNTY
