Dental Board of California
Licensing details for: 3420
Name: PETERSON, JEROME NORMAN
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
3620 S. BRISTOL STREET 302
SANTA ANA CA 92704
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: PETERSON, JEROME NORMAN
License/Registration Type: Dentist License
License Number: 23551 Primary Status: Current - Active
Address :
2500 ALTON PKWY #202
IRVINE CA 92606
ORANGE COUNTY
