California
Department of Consumer Affairs
BLAKE AMY SUSANNE
Dental License
License number
64912
Date granted
07/31/2015
Date expires
01/31/2016
Class
Dental License
Status
Current
Address
323 MANOR DRIVE PACIFICA CA 94044
californialicensing.org
ID 31316717
LAST UPDATED 2026-04-30 19:32:03 UTC
LAST UPDATED 2026-04-30 19:32:03 UTC
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