License holder summary

INNOVATIVE DENTAL MANAGEMENT is a Dental - Registered Provider licensed to practice in California. The address on file for INNOVATIVE DENTAL MANAGEMENT is SANTA ROSA. This licensed professional license is not current. The license was granted 12/10/1997 and expired on 12/31/1999.

California

Department of Consumer Affairs

INNOVATIVE DENTAL MANAGEMENT
Dental - Registered Provider
License number
3580
Date granted
12/10/1997
Date expires
12/31/1999
Class
Dental - Registered Provider
Status
Canceled
Address
SANTA ROSA
californialicensing.org
ID 19813969
LAST UPDATED 2026-07-12 03:13:30 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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