California
Department of Consumer Affairs
TSOI PO-MAY
Dental License
License number
44112
Date granted
10/25/1996
Date expires
05/31/2017
Class
Dental License
Status
Current
Address
7083 CAMINO DEGRAZIA #151 SAN DIEGO CA 92111
californialicensing.org
ID 19797054
LAST UPDATED 2026-05-03 20:26:43 UTC
LAST UPDATED 2026-05-03 20:26:43 UTC
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