California
Department of Consumer Affairs
HEALTH EDUCATION SERVICE
Dental - Registered Provider
License number
4189
Date granted
03/11/2004
Date expires
03/31/2016
Class
Dental - Registered Provider
Status
Current
Address
MENLO PARK
californialicensing.org
ID 19812705
LAST UPDATED 2026-06-23 13:44:09 UTC
LAST UPDATED 2026-06-23 13:44:09 UTC
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