Dental Board of California
Licensing details for: 7573
Name: PENINSULA DENTAL ARTS, DENTAL OFFICE OF BENJAMIN F. CRAVATT, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: PENINSULA DENTAL ARTS
Address of Record
927 DEEP VALLEY DR.
STE. 125
ROLLING HILLS ESTATE CA 90274
LOS ANGELES 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: CRAVATT, BENJAMIN F
License/Registration Type: Dentist License
License Number: 24761 Primary Status: Cancelled
Address :
1378 VIA CASTILLA
PALOS VERDES ESTATES CA 90274
LOS ANGELES COUNTY
