California
Department of Consumer Affairs
POBLETE NICHOLAS ELLIS
Dental License
License number
49190
Date granted
11/01/2001
Date expires
04/30/2017
Class
Dental License
Status
Current
Address
1316 COFFEE RD., BLDG C MODESTO CA 95355
californialicensing.org
ID 19786601
LAST UPDATED 2026-05-27 08:37:57 UTC
LAST UPDATED 2026-05-27 08:37:57 UTC
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