Dental Board of California
Licensing details for: 2658
Name: KRUIZENGA, MEGHANNE ELIZABETH
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: GROMIS, MEGHANNE ELIZABETH
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: KRUIZENGA, MEGHANNE ELIZABETH
License/Registration Type: Dentist License
License Number: 55924 Primary Status: Current - Active
Address :
1202 Beaumont Ave
Suite B
BEAUMONT CA 92223-1506
SAN BERNARDINO COUNTY
