Jonathan Simon Bensoussan
ActiveCalifornia license 102064
License
- Licensed by
- Dental Board of California
- License number
- 102064
- Status
- Active (Current)
- First issued
- September 28, 2017
- Expires
- October 31, 2027
- License holder
- Jonathan Simon Bensoussan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13360 N 94th Dr
Ste B
Peoria, AZ 85381-4837
Ste B
Peoria, AZ 85381-4837
Maricopa County