Dental Board of California
Licensing details for: 15619
Name: CHILDREN'S CHOICE DENTAL CARE DENTAL PRACTICE OF DR. PAGE HUDSON DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HUDSON, PAGE ALLEN
Address Not Disclosed
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: HUDSON, PAGE ALLEN
License/Registration Type: Dentist License
License Number: 36249 Primary Status: Current - Active
Address :
5150 5th St
RAPID CITY SD 57701-6023
PENNINGTON COUNTY
