License holder summary

SOUTHERN SMILES DENTAL PRACTICE, KEITH M. LONG DDS PC is a Dental - Fictitious Name licensed to practice in California. The address on file for SOUTHERN SMILES DENTAL PRACTICE, KEITH M. LONG DDS PC is LAKEPORT. This licensed professional license is current. The license was granted 03/14/2014 and expired on 02/29/2016.

California

Department of Consumer Affairs

SOUTHERN SMILES DENTAL PRACTICE, KEITH M. LONG DDS PC
Dental - Fictitious Name
License number
11155
Date granted
03/14/2014
Date expires
02/29/2016
Class
Dental - Fictitious Name
Status
Current
Address
LAKEPORT
californialicensing.org
ID 19743567
LAST UPDATED 2024-05-05 23:10:29 UTC

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