California
Department of Consumer Affairs
SOPHIA BASIN, DDS, INC.
Dental - Additional Office
License number
9193
Date granted
09/29/2006
Date expires
09/30/2011
Class
Dental - Additional Office
Status
Canceled
Address
19233 VENTURA BLVD. TARZANA CA 91356
californialicensing.org
ID 10875306
LAST UPDATED 2024-02-29 14:13:32 UTC
LAST UPDATED 2024-02-29 14:13:32 UTC
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