Dental Board of California
Licensing details for: 9582
Name: BLUE OAK DENTAL ROSEVILLE, A DENTAL OFFICE OF ARENA DENTAL CORPOR
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: BLUE OAK DENTAL ROSEVILLE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ARENA, MARK EDWARD
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: ARENA, MARK EDWARD
License/Registration Type: Dentist License
License Number: 31559 Primary Status: Current - Active
Address :
5410 PARK DRIVE
ROCKLIN CA 95765
PLACER COUNTY
