California
Department of Consumer Affairs
FIELD SIDNEY A
Dental License
License number
17274
Date granted
01/01/1963
Date expires
04/30/2011
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
11 FAENZA NEWPORT COAST CA 92657
californialicensing.org
ID 19788083
LAST UPDATED 2024-04-05 09:03:43 UTC
LAST UPDATED 2024-04-05 09:03:43 UTC
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