Dental Board of California
Licensing details for: 1763
Name: INLAND DENTAL GROUP OF PERRIS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
2560 N PERRIS BLVD STE F1/F2
PERRIS CA 92570
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: LEVINGSTON, JOSEPH RICHARD
License/Registration Type: Dentist License
License Number: 39295 Primary Status: Cancelled
Address :
20940 N Tatum Blvd
Ste 290
20940 N Tatum Blvd
PHOENIX AZ 85050-4265
MARICOPA COUNTY
