California
Department of Consumer Affairs
BOARD DENTAL
Dental License
License number
99999
Date granted
12/17/1990
Date expires
01/31/1993
Class
Dental License
Status
Canceled
Address
1432 HOWE AVENUE, SUITE 85 SACRAMENTO CA 95825-3241
californialicensing.org
ID 19794224
LAST UPDATED 2024-02-18 12:06:08 UTC
LAST UPDATED 2024-02-18 12:06:08 UTC
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