HARVEY Wayne SMALL
ActiveCalifornia license 100856
License
- Licensed by
- Dental Board of California
- License number
- 100856
- Status
- Active (Current)
- First issued
- September 13, 2016
- Expires
- December 31, 2027
- License holder
- HARVEY Wayne SMALL
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
764 Island View Cir
Port Hueneme, CA 93041-3417
Port Hueneme, CA 93041-3417
Ventura County