California
Department of Consumer Affairs
BALLARD E WILDEN
Dental License
License number
10957
Date granted
01/01/1949
Date expires
03/31/2001
Class
Dental License
Status
Canceled
Address
599 LOS ALAMOS RD SANTA ROSA CA 95405
californialicensing.org
ID 19802902
LAST UPDATED 2024-02-06 21:09:11 UTC
LAST UPDATED 2024-02-06 21:09:11 UTC
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