California
Department of Consumer Affairs
CA DEPT OF CORRECTION AND REHABILATION SOUTHERN
Dental - Registered Provider
License number
2014
Date granted
01/13/1988
Date expires
01/31/2010
Class
Dental - Registered Provider
Status
Delinquent
Address
NORWALK
californialicensing.org
ID 19812903
LAST UPDATED 2026-05-21 11:51:19 UTC
LAST UPDATED 2026-05-21 11:51:19 UTC
This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.