California
Department of Consumer Affairs
LATT HLA MAY
Dental License
License number
49572
Date granted
05/13/2002
Date expires
12/31/2015
Class
Dental License
Status
Current
Address
26063 PAXTON PLACE LOMA LINDA CA 92354
californialicensing.org
ID 19781725
LAST UPDATED 2026-03-25 01:03:39 UTC
LAST UPDATED 2026-03-25 01:03:39 UTC
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