California
Department of Consumer Affairs
VALLECILLO MANAGEMENT DECISIONS
Dental - Registered Provider
License number
4287
Date granted
03/21/2005
Date expires
03/31/2009
Class
Dental - Registered Provider
Status
Delinquent
Address
BRENTWOOD
californialicensing.org
ID 19811699
LAST UPDATED 2026-06-23 06:00:24 UTC
LAST UPDATED 2026-06-23 06:00:24 UTC
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