California
Department of Consumer Affairs
DAN GORDON MEMORIAL TREAT PLAN SEM
Dental - Registered Provider
License number
2074
Date granted
01/27/1988
Date expires
01/31/2004
Class
Dental - Registered Provider
Status
Delinquent
Address
NEWPORT BEACH
californialicensing.org
ID 19812862
LAST UPDATED 2024-03-04 12:34:29 UTC
LAST UPDATED 2024-03-04 12:34:29 UTC
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