California
Department of Consumer Affairs
SAN DIEGO CENTER FOR PLASTIC ORAL & MAXILLOFACIAL SURGERY
Dental - Registered Provider
License number
3272
Date granted
12/19/1994
Date expires
12/31/2016
Class
Dental - Registered Provider
Status
Current
Address
SAN DIEGO
californialicensing.org
ID 19813548
LAST UPDATED 2026-04-07 06:27:36 UTC
LAST UPDATED 2026-04-07 06:27:36 UTC
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