California
Department of Consumer Affairs
PRACTICE MANAGEMENT & EDUCATION
Dental - Registered Provider
License number
2987
Date granted
06/26/1992
Date expires
06/30/1996
Class
Dental - Registered Provider
Status
Canceled
Address
SANTA CRUZ
californialicensing.org
ID 19813915
LAST UPDATED 2024-02-22 20:30:43 UTC
LAST UPDATED 2024-02-22 20:30:43 UTC
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