California
Department of Consumer Affairs
MODESTO JUNIOR COLLEGE HEALTH OCCUPATION DIVISION
Dental - Registered Provider
License number
2476
Date granted
09/16/1988
Date expires
09/30/1990
Class
Dental - Registered Provider
Status
Canceled
Address
MODESTO
californialicensing.org
ID 19812756
LAST UPDATED 2026-06-03 02:15:18 UTC
LAST UPDATED 2026-06-03 02:15:18 UTC
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