California
Department of Consumer Affairs
DENTAL MANAGEMENT DECISIONS
Dental - Registered Provider
License number
3468
Date granted
01/21/1997
Date expires
01/31/2007
Class
Dental - Registered Provider
Status
Delinquent
Address
MORENO VALLEY
californialicensing.org
ID 19812801
LAST UPDATED 2026-03-17 20:46:03 UTC
LAST UPDATED 2026-03-17 20:46:03 UTC
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