California
Department of Consumer Affairs
ANTIC GROEN BAS MICHAEL
Dental License
License number
55473
Date granted
01/18/2007
Date expires
06/30/2016
Class
Dental License
Status
Current
Address
3119 W VALLEY HEART DR BURBANK CA 91505-4735
californialicensing.org
ID 19769022
LAST UPDATED 2026-03-14 08:22:47 UTC
LAST UPDATED 2026-03-14 08:22:47 UTC
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