California
Department of Consumer Affairs
WILLIAM K. TOM / STEVEN R. BOETTGER
Dental - Registered Provider
License number
4115
Date granted
09/02/2003
Date expires
09/30/2017
Class
Dental - Registered Provider
Status
Current
Address
UKIAH
californialicensing.org
ID 19814192
LAST UPDATED 2024-03-24 23:20:30 UTC
LAST UPDATED 2024-03-24 23:20:30 UTC
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