License holder summary

Custom Dental is a Dental - Enteral Conscious Sedation Site Certificate licensed to practice in Missouri. The address on file for Custom Dental is 2100 N Hwy 291 , Harrisonville 64701. This licensed professional license is current. The license was granted 03/05/2013 and expired on 06/01/2018.

Missouri

Division of Professional Registration

Custom Dental
Dental - Enteral Conscious Sedation Site Certificate
License number
2013006675  
Date granted
03/05/2013
Date expires
06/01/2018
Class
Dental - Enteral Conscious Sedation Site Certificate
Status
Clear
Address
2100 N Hwy 291 
licensingmissouri.org
ID 2030480
LAST UPDATED 2026-05-19 13:30:36 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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