Dental Board of California
Licensing details for: 2115
Name: MANGRUM, YOLANDA MARYE
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Specialty: Adult
Previous Names: MANGRUM, YOLANDA
Address of Record
1301 SOUTH POINT BLVD
PETALUMA CA 94954
SONOMA 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: MANGRUM, YOLANDA MARYE
License/Registration Type: Dentist License
License Number: 44612 Primary Status: Current - Active
Address :
1301 SOUTHPOINT BLVD
SUITE A
PETALUMA CA 94954
SONOMA COUNTY
