California
Department of Consumer Affairs
CALIFORNIA SOCIETY OF PED. DENT.
Dental - Registered Provider
License number
2040
Date granted
01/19/1988
Date expires
01/31/1990
Class
Dental - Registered Provider
Status
Canceled
Address
HUNTINGTON BEACH
californialicensing.org
ID 19812275
LAST UPDATED 2026-07-04 03:02:40 UTC
LAST UPDATED 2026-07-04 03:02:40 UTC
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