California
Department of Consumer Affairs
BALDY VIEW REGIONAL OCCUPATIONAL PROGRAM
Dental - Registered Provider
License number
4020
Date granted
07/22/2002
Date expires
07/31/2006
Class
Dental - Registered Provider
Status
Delinquent
Address
CLAREMONT
californialicensing.org
ID 19811858
LAST UPDATED 2026-07-16 08:35:32 UTC
LAST UPDATED 2026-07-16 08:35:32 UTC
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