License holder summary

SOUTH PASDENA ORAL AND MAXILLOFACIAL SURGERY is a Dental - Registered Provider licensed to practice in California. The address on file for SOUTH PASDENA ORAL AND MAXILLOFACIAL SURGERY is SOUTH PASADENA. This licensed professional license is current. The license was granted 12/18/2002 and expired on 12/31/2014.

California

Department of Consumer Affairs

SOUTH PASDENA ORAL AND MAXILLOFACIAL SURGERY
Dental - Registered Provider
License number
4057
Date granted
12/18/2002
Date expires
12/31/2014
Class
Dental - Registered Provider
Status
Complete
Address
SOUTH PASADENA
californialicensing.org
ID 19814047
LAST UPDATED 2024-04-09 15:13:25 UTC

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