California
Department of Consumer Affairs
DASALLA RUSSEL LAPUZ
Dental License
License number
64643
Date granted
06/29/2015
Date expires
04/30/2016
Class
Dental License
Status
Current
Address
12898 ADELPHIA AVENUE SAN FERNANDO CA 91340
californialicensing.org
ID 31316914
LAST UPDATED 2026-06-19 20:54:18 UTC
LAST UPDATED 2026-06-19 20:54:18 UTC
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