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Licensing details for: 3637

Name: FRANDSEN, PETER SHIGEKI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

12324 Oak Knoll Rd
POWAY CA 92064-5320
SAN DIEGO county
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Practice Location

12324 Oak Knoll Rd
POWAY CA 92064-5320
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2648 Jamacha Rd Ste 166
EL CAJON CA 92019-4346
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Issuance Date

April 13, 2017

Expiration Date

October 31, 2021

Current Date / Time

June 6, 2025
2:24:1 AM

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: FRANDSEN, PETER SHIGEKI

License/Registration Type: Dentist License

License Number: 59750 Primary Status: Expired

Address :
12324 Oak Knoll Rd
POWAY CA 92064-5320
SAN DIEGO COUNTY

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