Thida Mahasucon, Dds
ExpiredCalifornia license 81004
License
- Licensed by
- Dental Board of California
- License number
- 81004
- Status
- Expired (Delinquent)
- First issued
- August 3, 2021
- Expired
- January 31, 2023
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Mahasucon-Chang Thida (41952)
Contact
548 26th St.
Merced, CA 95340
Merced, CA 95340
Merced County