California
Department of Consumer Affairs
SAN BERNARDINO CTY REG OCCUPATIONAL PROGRAM
Dental - Registered Provider
License number
4204
Date granted
05/21/2004
Date expires
05/31/2016
Class
Dental - Registered Provider
Status
Current
Address
HESPERIA
californialicensing.org
ID 19812268
LAST UPDATED 2026-06-12 23:44:29 UTC
LAST UPDATED 2026-06-12 23:44:29 UTC
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