California
Department of Consumer Affairs
NORTHERN CALIFORNIA SOCIETY OF ORAL & MAXILLOFACIAL SURGEONS
Dental - Registered Provider
License number
2182
Date granted
02/05/1988
Date expires
02/28/2002
Class
Dental - Registered Provider
Status
Canceled
Address
ROSEVILLE
californialicensing.org
ID 19813304
LAST UPDATED 2026-07-07 17:38:34 UTC
LAST UPDATED 2026-07-07 17:38:34 UTC
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