California
Department of Consumer Affairs
LOS ANGELES COUNTY SHERIFF'S MEDICAL SERVICES BUREAU
Dental - Registered Provider
License number
3986
Date granted
03/26/2002
Date expires
03/31/2004
Class
Dental - Registered Provider
Status
Canceled
Address
LA VERNE
californialicensing.org
ID 19812396
LAST UPDATED 2026-05-01 17:51:34 UTC
LAST UPDATED 2026-05-01 17:51:34 UTC
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