California
Department of Consumer Affairs
PACIFIC ORAL & MAXILLOFACIAL SURGERY
Dental - Registered Provider
License number
4898
Date granted
07/09/2010
Date expires
07/31/2016
Class
Dental - Registered Provider
Status
Current
Address
DANA POINT
californialicensing.org
ID 19811940
LAST UPDATED 2026-06-07 08:27:28 UTC
LAST UPDATED 2026-06-07 08:27:28 UTC
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