California
Department of Consumer Affairs
AMBULATORY ANESTHESIA SERVICES
Dental - Registered Provider
License number
3980
Date granted
03/20/2002
Date expires
03/31/2006
Class
Dental - Registered Provider
Status
Delinquent
Address
THOUSAND OAKS
californialicensing.org
ID 19814115
LAST UPDATED 2026-03-16 12:47:41 UTC
LAST UPDATED 2026-03-16 12:47:41 UTC
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