California
Department of Consumer Affairs
SU TA-HAI
Dental License
License number
39890
Date granted
11/08/1991
Date expires
06/30/1996
Class
Dental License
Status
Canceled
Address
15912 E GALE AVE HACIENDA HEIGHTS CA 91745
californialicensing.org
ID 19777949
LAST UPDATED 2026-05-02 04:21:32 UTC
LAST UPDATED 2026-05-02 04:21:32 UTC
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