License holder summary

DIXON BLAINE T is a Dental License licensed to practice in California. The address on file for DIXON BLAINE T is 2704 COLLEGE AVE MODESTO CA 95350. This licensed professional license is not current. The license was granted 01/01/1967 and expired on 03/31/2012.

California

Department of Consumer Affairs

DIXON BLAINE T
Dental License
License number
19494
Date granted
01/01/1967
Date expires
03/31/2012
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
2704 COLLEGE AVE MODESTO CA 95350
californialicensing.org
ID 19786484
LAST UPDATED 2024-05-12 22:58:48 UTC

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