Tal D. Jergensen, D.D.S., Inc.
ExpiredCalifornia license 80456
License
- Licensed by
- Dental Board of California
- License number
- 80456
- Status
- Expired (Delinquent)
- First issued
- January 8, 2020
- 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
2079 Compton Ave Ste 101b
Corona, CA 92881
Corona, CA 92881
Riverside County