California
Department of Consumer Affairs
DENTAL SERVICES- CORRECTIONAL TREATMENT CENTER
Dental - Registered Provider
License number
4253
Date granted
12/07/2004
Date expires
12/31/2010
Class
Dental - Registered Provider
Status
Delinquent
Address
LOS ANGELES
californialicensing.org
ID 19812564
LAST UPDATED 2026-05-24 18:26:10 UTC
LAST UPDATED 2026-05-24 18:26:10 UTC
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