California
Department of Consumer Affairs
SAN DIEGO COUNTY PERIODONTISTS
Dental - Registered Provider
License number
4817
Date granted
12/22/2009
Date expires
12/31/2015
Class
Dental - Registered Provider
Status
Current
Address
CHULA VISTA
californialicensing.org
ID 19811847
LAST UPDATED 2026-07-11 21:38:32 UTC
LAST UPDATED 2026-07-11 21:38:32 UTC
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