Carlos Alfonso Lopez Diaz
ActiveCalifornia license 101712
License
- Licensed by
- Dental Board of California
- License number
- 101712
- Status
- Active (Current)
- First issued
- July 27, 2017
- Expires
- September 30, 2028
- License holder
- Carlos Alfonso Lopez Diaz
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
19046 La Puente Rd
West Covina, CA 91792
West Covina, CA 91792
Los Angeles County