California
Department of Consumer Affairs
BLACK STEPHEN ROBERT
Dental License
License number
60924
Date granted
09/29/2011
Date expires
08/31/2016
Class
Dental License
Status
Current
Address
3637 GRAPE ST SAN DIEGO CA 92104
californialicensing.org
ID 19795712
LAST UPDATED 2024-04-17 08:43:43 UTC
LAST UPDATED 2024-04-17 08:43:43 UTC
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