California
Department of Consumer Affairs
BLACK RICHARD MICHAEL
Dental - Additional Office
License number
4452
Date granted
05/06/1988
Date expires
11/30/1989
Class
Dental - Additional Office
Status
Canceled
Address
317 N EL CAMINO REAL #203 ENCINITAS CA 92024
californialicensing.org
ID 10866487
LAST UPDATED 2024-02-26 16:40:08 UTC
LAST UPDATED 2024-02-26 16:40:08 UTC
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