Dental Board of California
Licensing details for: 2771
Name: PRIETO, JORDAN DAVID
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
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: PRIETO, JORDAN DAVID
License/Registration Type: Dentist License
License Number: 61309 Primary Status: Current - Active
Address :
1900 Shaw Ave
101
CLOVIS CA 93611-4208
FRESNO COUNTY



