California
Department of Consumer Affairs
INSIDE INFORMATION
Dental - Registered Provider
License number
3418
Date granted
05/06/1996
Date expires
05/31/2006
Class
Dental - Registered Provider
Status
Delinquent
Address
SAN MATEO
californialicensing.org
ID 19813810
LAST UPDATED 2026-03-28 00:18:12 UTC
LAST UPDATED 2026-03-28 00:18:12 UTC
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