California
Department of Consumer Affairs
MICKIEWICZ TIMOTHY EDWARD
Dental License
License number
30810
Date granted
07/01/1982
Date expires
04/30/2017
Class
Dental License
Status
Current
Address
3401 FOLSOM BLVD SUITE A SACRAMENTO CA 95816
californialicensing.org
ID 19794638
LAST UPDATED 2024-04-19 20:17:42 UTC
LAST UPDATED 2024-04-19 20:17:42 UTC
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