California
Department of Consumer Affairs
FAN OF CPR
Dental - Registered Provider
License number
4779
Date granted
08/19/2009
Date expires
08/31/2013
Class
Dental - Registered Provider
Status
Complete
Address
SAN JOSE
californialicensing.org
ID 19813709
LAST UPDATED 2026-06-03 13:07:42 UTC
LAST UPDATED 2026-06-03 13:07:42 UTC
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