California
Department of Consumer Affairs
LANE MATTHEW PARK
Dental License
License number
41846
Date granted
07/27/1994
Date expires
05/30/2016
Class
Dental License
Status
Current
Address
2506 PROFESSIONAL PKWY SANTA MARIA CA 93455
californialicensing.org
ID 19802505
LAST UPDATED 2024-03-16 22:21:41 UTC
LAST UPDATED 2024-03-16 22:21:41 UTC
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