Carolyn Elizabeth Castaneda Fassioli
ActiveCalifornia license 101094
License
- Licensed by
- Dental Board of California
- License number
- 101094
- Status
- Active (Current)
- First issued
- December 16, 2016
- Expires
- September 30, 2028
- License holder
- Carolyn Elizabeth Castaneda Fassioli
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22706 Aspan St
Suite 602
Lake Forest, CA 92630-1603
Suite 602
Lake Forest, CA 92630-1603
Orange County