California
Department of Consumer Affairs
SANTA CLARA SOUTH COUNTY REG. OCCUP. PROG.
Dental - Registered Provider
License number
5091
Date granted
03/05/2012
Date expires
03/31/2014
Class
Dental - Registered Provider
Status
Delinquent
Address
GILROY
californialicensing.org
ID 19812203
LAST UPDATED 2026-04-25 20:58:03 UTC
LAST UPDATED 2026-04-25 20:58:03 UTC
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