California
Department of Consumer Affairs
DENTISTRY 2000
Dental - Registered Provider
License number
2082
Date granted
01/27/1988
Date expires
01/31/2006
Class
Dental - Registered Provider
Status
Delinquent
Address
DANA POINT
californialicensing.org
ID 19811938
LAST UPDATED 2026-05-16 10:51:25 UTC
LAST UPDATED 2026-05-16 10:51:25 UTC
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