California
Department of Consumer Affairs
BLS PRO
Dental - Registered Provider
License number
4648
Date granted
06/01/2008
Date expires
06/30/2010
Class
Dental - Registered Provider
Status
Delinquent
Address
TARZANA
californialicensing.org
ID 19814091
LAST UPDATED 2024-05-15 03:31:37 UTC
LAST UPDATED 2024-05-15 03:31:37 UTC
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