Jacob Benjamin Blom
ActiveCalifornia license 103246
License
- Licensed by
- Dental Board of California
- License number
- 103246
- Status
- Active (Current)
- First issued
- September 16, 2018
- Expires
- July 31, 2028
- License holder
- Jacob Benjamin Blom
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
640 Buchanan St
Davis, CA 95616
Davis, CA 95616
Yolo County