California
Department of Consumer Affairs
LA JOLLA ORAL & MAXILLOFACIAL SURGERY DENTAL GROUP
Dental - Registered Provider
License number
3310
Date granted
05/22/1995
Date expires
05/31/1999
Class
Dental - Registered Provider
Status
Canceled
Address
LA JOLLA
californialicensing.org
ID 19812353
LAST UPDATED 2026-06-19 19:07:10 UTC
LAST UPDATED 2026-06-19 19:07:10 UTC
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