California
Department of Consumer Affairs
XI PSI PHI - ZOP
Dental - Registered Provider
License number
2791
Date granted
09/18/1990
Date expires
09/30/1994
Class
Dental - Registered Provider
Status
Canceled
Address
SAN FRANCISCO
californialicensing.org
ID 19813680
LAST UPDATED 2026-05-13 17:44:56 UTC
LAST UPDATED 2026-05-13 17:44:56 UTC
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