California
Department of Consumer Affairs
UNIVERSITY OF CALIFORNIA SAN DIEGO SCHOOL OF MEDICINE DEPARTMENT
Dental - Registered Provider
License number
4568
Date granted
09/17/2007
Date expires
09/30/2017
Class
Dental - Registered Provider
Status
Current
Address
LA JOLLA
californialicensing.org
ID 19812367
LAST UPDATED 2026-06-02 13:47:35 UTC
LAST UPDATED 2026-06-02 13:47:35 UTC
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