California
Department of Consumer Affairs
WESTERN SOC OF ORAL & MAXILLO SURG
Dental - Registered Provider
License number
2200
Date granted
02/17/1988
Date expires
02/29/2000
Class
Dental - Registered Provider
Status
Canceled
Address
SACRAMENTO
californialicensing.org
ID 19813415
LAST UPDATED 2026-06-12 04:23:52 UTC
LAST UPDATED 2026-06-12 04:23:52 UTC
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