California
Department of Consumer Affairs
MAHAN PHILLIP Z
Dental License
License number
18885
Date granted
01/01/1966
Date expires
12/31/2004
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
633 RAMONA AVE #99 LOS OSOS CA 93402
californialicensing.org
ID 19785242
LAST UPDATED 2024-02-13 14:58:16 UTC
LAST UPDATED 2024-02-13 14:58:16 UTC
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