Dental Board of California
Licensing details for: 3417
Name: ANDERSON, SHAWN RAY
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
25109 Jefferson Ave Suite 220
MURRIETA CA 92562
RIVERSIDE 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: ANDERSON, SHAWN RAY
License/Registration Type: Dentist License
License Number: 57725 Primary Status: Current - Active
Address :
25109 JEFFERSON AVE, SUITE 220
MURRIETA CA 92562
RIVERSIDE COUNTY
