Dental Board of California
Licensing details for: 79834
Name: DR. PERIKLIS PROUSSAEFS, A PROFESSIONAL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
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: PROUSSAEFS, PERIKLIS THEODORE
License/Registration Type: Dentist License
License Number: 45310 Primary Status: Current - Active
Address :
3585 TELEGRAPH ROAD
SUITE C
VENTURA CA 93003
VENTURA COUNTY
