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Licensing details for: 7292

Name: JEROME N. PETERSON, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

33 BLAKELEY
IRVINE CA 92620
ORANGE county
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Issuance Date

December 14, 2000

Expiration Date

February 28, 2015

Current Date / Time

June 6, 2025
2:15:2 AM

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: 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

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