California
Department of Consumer Affairs
DORETTA E. LONGWORTH
Dental - Registered Provider
License number
5242
Date granted
07/26/2013
Date expires
07/31/2015
Class
Dental - Registered Provider
Status
Delinquent
Address
CORONA
californialicensing.org
ID 19811885
LAST UPDATED 2026-06-01 11:50:15 UTC
LAST UPDATED 2026-06-01 11:50:15 UTC
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