Tal D. Jergensen D.D.S. Inc.
ExpiredCalifornia license 80053
License
- Licensed by
- Dental Board of California
- License number
- 80053
- Status
- Expired (Delinquent)
- First issued
- April 25, 2019
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Jergensen Tal (40621)
- Related
- Waddoups Samuel (61987)
Contact
29955 Technology Dr Suite C-112
Murrieta, CA 92563
Murrieta, CA 92563
Riverside County