California
Department of Consumer Affairs
CPR AND SAFETY CERTIFICATION
Dental - Registered Provider
License number
4677
Date granted
09/09/2008
Date expires
09/30/2010
Class
Dental - Registered Provider
Status
Delinquent
Address
NOVATO
californialicensing.org
ID 19812909
LAST UPDATED 2026-04-22 11:34:58 UTC
LAST UPDATED 2026-04-22 11:34:58 UTC
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