Dental Board of California
Licensing details for: 439
Name: HENDRICKSON, RAYMOND HEATH
License Type: Moderate Sedation Permit
Primary Status: Current - Active
Previous Names: Hendrickson, Raymond Heath
License Relationships
MS to DDS or OMS or SP
License/Registration Role: Moderate Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: HENDRICKSON, RAYMOND HEATH
License/Registration Type: Dentist License
License Number: 104485 Primary Status: Current - Active
Address :
2230 N University Pkwy
Suite 8A
PROVO UT 84604
UTAH COUNTY
