Dental Board of California
Licensing details for: 6467
Name: OLIVEWOOD PLAZA DENTAL GROUP, JOHN J. SHEA, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
23318 OLIVEWOOD PLAZA DR., STE. A
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHEA, JOHN JOSEPH
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: SHEA, JOHN JOSEPH
License/Registration Type: Dentist License
License Number: 45321 Primary Status: Current - Active
Address :
23318 OLIVEWOOD PLAZA DR.
STE. A/B
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
