Dental Board of California
Licensing details for: 6707
Name: TERRACE DENTAL GROUP, RODGERS AND DO PROF. DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: TERRACE DENTAL GOURP, RODGERS AND DO PROFESSIONAL DENTAL COORPORATION
Address of Record
320 SYCAMORE AVE.
STE. 60
VISTA CA 92083
SAN DIEGO 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: RODGERS, CHARLES FREDERICK
License/Registration Type: Dentist License
License Number: 35324 Primary Status: Current - Active
Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY
