California
Department of Consumer Affairs
OC-CPR.NET
Dental - Registered Provider
License number
5157
Date granted
08/08/2012
Date expires
08/31/2014
Class
Dental - Registered Provider
Status
Delinquent
Address
HUNTINGTON BEACH
californialicensing.org
ID 19812288
LAST UPDATED 2026-05-12 05:33:28 UTC
LAST UPDATED 2026-05-12 05:33:28 UTC
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