Dental Board of California
Licensing details for: 1457
Name: HILLSDALE DENTAL GROUP, ROBERT RIDEAU, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
360 HILLSDALE MALL
SAN MATEO CA 94403
SAN MATEO 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: GRIGGS, REGINALD ARNOLD
License/Registration Type: Dentist License
License Number: 31619 Primary Status: Current - Active
Address :
20265 Lake Chabot Rd
CASTRO VALLEY CA 94546
ALAMEDA COUNTY
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: RIDEAU, ROBERT DAVID
License/Registration Type: Dentist License
License Number: 32170 Primary Status: Current - Active
Address :
19 W 39th Ave
SAN MATEO CA 94403-4593
SAN MATEO COUNTY
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: PEREZ, PAUL THOMAS
License/Registration Type: Dentist License
License Number: 31684 Primary Status: Current - Active
Address :
2844 Summit Street
206
OAKLAND CA 94609
ALAMEDA COUNTY



