Bashar Wisam Fargo
ActiveCalifornia license 101627
License
- Licensed by
- Dental Board of California
- License number
- 101627
- Status
- Active (Current)
- First issued
- July 21, 2017
- Expires
- September 30, 2027
- License holder
- Bashar Wisam Fargo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
8275 Sierra Ave
102
Fontana, CA 92335-3557
102
Fontana, CA 92335-3557
San Bernardino County