California
Department of Consumer Affairs
GROSSMAN PHILLIP JAMES
Dental License
License number
49757
Date granted
11/03/2004
Date expires
11/30/2016
Class
Dental License
Status
Current
Address
22629 TWAIN HARTE DR. TWAIN HARTE CA 95383
californialicensing.org
ID 19806516
LAST UPDATED 2024-03-23 22:11:28 UTC
LAST UPDATED 2024-03-23 22:11:28 UTC
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