California
Department of Consumer Affairs
LIMITED TO IMPLANT DENTISTRY
Dental - Registered Provider
License number
3112
Date granted
08/10/1993
Date expires
08/31/1995
Class
Dental - Registered Provider
Status
Canceled
Address
NEWPORT BEACH
californialicensing.org
ID 19812869
LAST UPDATED 2024-03-13 00:55:24 UTC
LAST UPDATED 2024-03-13 00:55:24 UTC
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