California
Department of Consumer Affairs
INGRAM BRENT THOMAS
Dental License
License number
43978
Date granted
10/21/1996
Date expires
07/31/2016
Class
Dental License
Status
Current
Address
5149 MOORPARK AVE #101 SAN JOSE CA 95129
californialicensing.org
ID 19799547
LAST UPDATED 2024-03-03 09:08:20 UTC
LAST UPDATED 2024-03-03 09:08:20 UTC
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