California
Department of Consumer Affairs
CAPITOL AVENUE DENTAL PRACTICE, DR. KISSEVICH
Dental - Fictitious Name
License number
4635
Date granted
12/09/2003
Date expires
06/30/2008
Class
Dental - Fictitious Name
Status
Canceled
Address
SACRAMENTO
californialicensing.org
ID 10890002
LAST UPDATED 2026-04-21 05:49:54 UTC
LAST UPDATED 2026-04-21 05:49:54 UTC
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