California
Department of Consumer Affairs
DENTAL FORUM 2000
Dental - Registered Provider
License number
2547
Date granted
01/23/1989
Date expires
01/31/1999
Class
Dental - Registered Provider
Status
Canceled
Address
SANTA ROSA
californialicensing.org
ID 19813964
LAST UPDATED 2026-05-29 18:41:24 UTC
LAST UPDATED 2026-05-29 18:41:24 UTC
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