California
Department of Consumer Affairs
PACIFIC MAXILLOFACIAL ED. & RESEARCH FOUNDATION
Dental - Registered Provider
License number
5137
Date granted
06/18/2012
Date expires
06/30/2016
Class
Dental - Registered Provider
Status
Current
Address
FREMONT
californialicensing.org
ID 19812131
LAST UPDATED 2026-05-02 18:26:40 UTC
LAST UPDATED 2026-05-02 18:26:40 UTC
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