Dental Board of California
Licensing details for: 17062
Name: SUNRAY PEDIATRIC DENTISTRY DENTAL OFFICE OF DANIEL HALL DMD
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
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: HALL, DANIEL RAYMOND
License/Registration Type: Dentist License
License Number: 103313 Primary Status: Current - Active
Address :
13350 Camino Del Sur Ste 3B
SAN DIEGO CA 92129-4473
SAN DIEGO COUNTY
