California
Department of Consumer Affairs
PHILIP JEREL FREDERIC
Dental License
License number
38159
Date granted
04/27/1990
Date expires
08/31/2016
Class
Dental License
Status
Current
Address
4100 PORTOLA DR, STE 1 SANTA CRUZ CA 95062
californialicensing.org
ID 19802385
LAST UPDATED 2024-03-28 15:13:23 UTC
LAST UPDATED 2024-03-28 15:13:23 UTC
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