California
Department of Consumer Affairs
NATIONAL PROVIDER COMPLIANCE CORPORATION
Dental - Registered Provider
License number
5383
Date granted
02/19/2015
Date expires
02/28/2017
Class
Dental - Registered Provider
Status
Current
Address
LA MESA
californialicensing.org
ID 31317367
LAST UPDATED 2026-06-19 17:15:46 UTC
LAST UPDATED 2026-06-19 17:15:46 UTC
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