California
Department of Consumer Affairs
STAFFORD MARK LAVERNE
Dental License
License number
28986
Date granted
07/08/1980
Date expires
05/31/2016
Class
Dental License
Status
Current
Address
436 MT HOLYOKE AVE PACIFIC PALISADES CA 90272
californialicensing.org
ID 19789886
LAST UPDATED 2026-05-22 17:00:05 UTC
LAST UPDATED 2026-05-22 17:00:05 UTC
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