California
Department of Consumer Affairs
CENTER FOR BEHAVIORAL EPIDEMIOLOGY & COMMUNITY HEALTH
Dental - Registered Provider
License number
4815
Date granted
11/16/2009
Date expires
11/30/2013
Class
Dental - Registered Provider
Status
Delinquent
Address
SAN DIEGO
californialicensing.org
ID 19813480
LAST UPDATED 2026-05-21 23:54:08 UTC
LAST UPDATED 2026-05-21 23:54:08 UTC
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