California
Department of Consumer Affairs
PRACTICE EDGE
Dental - Registered Provider
License number
3421
Date granted
05/29/1996
Date expires
05/31/1998
Class
Dental - Registered Provider
Status
Canceled
Address
BERKELEY
californialicensing.org
ID 19811632
LAST UPDATED 2026-06-01 03:10:57 UTC
LAST UPDATED 2026-06-01 03:10:57 UTC
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