California
Department of Consumer Affairs
PRACTICE SAFETY SYSTEMS
Dental - Registered Provider
License number
3054
Date granted
01/04/1993
Date expires
01/31/1999
Class
Dental - Registered Provider
Status
Delinquent
Address
LAGUNA NIGUEL
californialicensing.org
ID 19812423
LAST UPDATED 2026-06-19 06:21:01 UTC
LAST UPDATED 2026-06-19 06:21:01 UTC
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