Dental Board of California
Licensing details for: 603
Name: DIXON, STEPHANIE LEE
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: PETERSON, STEPHANIE LEE
Address of Record
5627 OBERLIN DR STE 100
SAN DIEGO CA 92121
SAN DIEGO 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: DIXON, STEPHANIE LEE
License/Registration Type: Dentist License
License Number: 48761 Primary Status: Current - Active
Address :
5627 OBERLIN DR #100
SAN DIEGO CA 92121
SAN DIEGO COUNTY
