Dental Board of California
Licensing details for: 5769
Name: PAT DICICCIO, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
44 NORTH MCDOW
SUITE 122
SUSANVILLE CA 96130
LASSEN county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DICICCIO, PAT
License/Registration Type: Dentist License
License Number: 33920 Primary Status: Current - Active
Address :
7055 N Fresno St
STE 302
FRESNO CA 93720-2957
FRESNO COUNTY
