Dental Board of California
Licensing details for: 1618
Name: BLUE OAK DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
DENTAL OFFICE OF DR MARK ARENA
15 SIERRA GATE PLAZA
ROSEVILLE CA 95678
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ARENA, MARK EDWARD
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: ARENA, MARK EDWARD
License/Registration Type: Dentist License
License Number: 31559 Primary Status: Current - Active
Address :
5410 PARK DRIVE
ROCKLIN CA 95765
PLACER COUNTY
