
Dental Board of California
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
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: 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