California
Department of Consumer Affairs
PROFESSIONAL HEALTH INSTRUCTION
Dental - Registered Provider
License number
2895
Date granted
09/12/1991
Date expires
09/30/2015
Class
Dental - Registered Provider
Status
Canceled
Address
BURLINGAME
californialicensing.org
ID 19811723
LAST UPDATED 2026-04-09 09:30:54 UTC
LAST UPDATED 2026-04-09 09:30:54 UTC
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