License holder summary

CHILDREN'S DENTAL SPECIALIST SOUTHBAY, DENTAL PRACTICE OF LENISE is a Dental - Fictitious Name licensed to practice in California. The address on file for CHILDREN'S DENTAL SPECIALIST SOUTHBAY, DENTAL PRACTICE OF LENISE is CARSON. This licensed professional license is current. The license was granted 01/23/2014 and expired on 06/30/2017.

California

Department of Consumer Affairs

CHILDREN'S DENTAL SPECIALIST SOUTHBAY, DENTAL PRACTICE OF LENISE
Dental - Fictitious Name
License number
11012
Date granted
01/23/2014
Date expires
06/30/2017
Class
Dental - Fictitious Name
Status
Current
Address
CARSON
californialicensing.org
ID 19743386
LAST UPDATED 2024-03-15 10:30:44 UTC

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