California
Department of Consumer Affairs
DE LOS REYES FLORENCIO FORTEZA
Dental License
License number
29252
Date granted
10/16/1980
Date expires
02/29/1996
Class
Dental License
Status
Canceled
Address
5300 SANTA MONICA BLVD STE 401 LOS ANGELES CA 90029
californialicensing.org
ID 19783061
LAST UPDATED 2024-05-01 13:35:06 UTC
LAST UPDATED 2024-05-01 13:35:06 UTC
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