California
Department of Consumer Affairs
DNTL ASSIS PRGM SAN DIEGO MESA COL
Dental - Registered Provider
License number
2361
Date granted
05/13/1988
Date expires
05/31/1990
Class
Dental - Registered Provider
Status
Canceled
Address
SAN DIEGO
californialicensing.org
ID 19813493
LAST UPDATED 2026-04-06 21:49:50 UTC
LAST UPDATED 2026-04-06 21:49:50 UTC
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