California
Department of Consumer Affairs
FAST RESPONSE
Dental - Registered Provider
License number
4089
Date granted
04/07/2003
Date expires
04/30/2005
Class
Dental - Registered Provider
Status
Canceled
Address
BERKELEY
californialicensing.org
ID 19811629
LAST UPDATED 2026-07-09 10:38:43 UTC
LAST UPDATED 2026-07-09 10:38:43 UTC
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