Dental Board of California
Licensing details for: 1136
Name: FELICIANO FAMILY DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
13373 PERRIS BLVD SUITE 306D
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: FELICIANO, PETER PAUL REYNOLDS
License/Registration Type: Dentist License
License Number: 37104 Primary Status: Current - Active
Address :
13373 Perris Blvd
SUITE D-306
MORENO VALLEY CA 92553-5441
RIVERSIDE COUNTY
