California
Department of Consumer Affairs
HEALTHCARE RESOURCES
Dental - Registered Provider
License number
3410
Date granted
05/06/1996
Date expires
05/31/1998
Class
Dental - Registered Provider
Status
Canceled
Address
SAN FRANCISCO
californialicensing.org
ID 19813612
LAST UPDATED 2026-04-15 07:38:30 UTC
LAST UPDATED 2026-04-15 07:38:30 UTC
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