California
Department of Consumer Affairs
DENTAL BOARD OF CALIFORNIA
Dental - Registered Provider
License number
4880
Date granted
06/17/2010
Date expires
06/30/2016
Class
Dental - Registered Provider
Status
Current
Address
SACRAMENTO
californialicensing.org
ID 19813343
LAST UPDATED 2026-06-26 05:06:47 UTC
LAST UPDATED 2026-06-26 05:06:47 UTC
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