California
Department of Consumer Affairs
AMERICAN FEDERATION OF PRIVATE DENTAL PRACTITIONERS
Dental - Registered Provider
License number
2616
Date granted
05/30/1989
Date expires
05/31/2003
Class
Dental - Registered Provider
Status
Delinquent
Address
SAN MATEO
californialicensing.org
ID 19813802
LAST UPDATED 2026-06-21 00:55:16 UTC
LAST UPDATED 2026-06-21 00:55:16 UTC
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