License holder summary

LONG BEACH/SOUTH BAY DENTAL STUDY GP is a Dental - Registered Provider licensed to practice in California. The address on file for LONG BEACH/SOUTH BAY DENTAL STUDY GP is REDONDO BEACH. This licensed professional license is not current. The license was granted 09/12/1990 and expired on 09/30/1994.

California

Department of Consumer Affairs

LONG BEACH/SOUTH BAY DENTAL STUDY GP
Dental - Registered Provider
License number
2796
Date granted
09/12/1990
Date expires
09/30/1994
Class
Dental - Registered Provider
Status
Canceled
Address
REDONDO BEACH
californialicensing.org
ID 19813219
LAST UPDATED 2024-02-22 09:23:39 UTC

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