California
Department of Consumer Affairs
PHILIP MATTHEW NISCO
Dental - Additional Office
License number
4974
Date granted
07/26/1991
Date expires
09/30/2014
Class
Dental - Additional Office
Status
Delinquent
Address
28200 HWY 189, STE 02-250 LAKE ARROWHEAD CA 92352
californialicensing.org
ID 10868361
LAST UPDATED 2026-03-21 04:33:50 UTC
LAST UPDATED 2026-03-21 04:33:50 UTC
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