California
Department of Consumer Affairs
SU PEITI
Dental License
License number
62032
Date granted
11/07/2012
Date expires
11/30/2016
Class
Dental License
Status
Current
Address
2418 40TH AVE SAN FRANCISCO CA 94116
californialicensing.org
ID 19798724
LAST UPDATED 2026-05-18 20:09:13 UTC
LAST UPDATED 2026-05-18 20:09:13 UTC
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