License holder summary

Riverside Family Dental Center is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Riverside Family Dental Center is 214 Prodo Dr , Jefferson City 65109. This licensed professional license is current. The license was granted 06/18/2009 and expired on 06/01/2014.

Missouri

Division of Professional Registration

Riverside Family Dental Center
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2009016560  
Date granted
06/18/2009
Date expires
06/01/2014
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
214 Prodo Dr 
licensingmissouri.org
ID 2043579
LAST UPDATED 2024-03-28 17:12:46 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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