License holder summary

CDCR DIVISION OF HEALTHCARE SERVICES DENTAL PROGRAM is a Dental - Registered Provider licensed to practice in California. The address on file for CDCR DIVISION OF HEALTHCARE SERVICES DENTAL PROGRAM is ELK GROVE. This licensed professional license is current. The license was granted 08/13/2007 and expired on 08/31/2017.

California

Department of Consumer Affairs

CDCR DIVISION OF HEALTHCARE SERVICES DENTAL PROGRAM
Dental - Registered Provider
License number
4550
Date granted
08/13/2007
Date expires
08/31/2017
Class
Dental - Registered Provider
Status
Current
Address
ELK GROVE
californialicensing.org
ID 19812006
LAST UPDATED 2026-05-13 03:44:31 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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