Dental Board of California
Licensing details for: 4273
Name: ANTONIO, JASON CLAY
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Specialty: Adult
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MURRIETA MODERN DENTISTRY DENTALGROUP, JASON ANTONIO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17110 Primary Status: Current - Active
Address :
28080 CLINTON KEITH ROAD, SUITE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
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: ANTONIO, JASON CLAY
License/Registration Type: Dentist License
License Number: 59169 Primary Status: Current - Active
Address :
28080 Clinton Keith Rd
STE 100
MURRIETA CA 92563-4552
RIVERSIDE COUNTY
